NPI | 1376717850 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171100000X Acupuncturist (Licence: CT 000103) |
Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 000654) |
Enumeration Date | 2008-04-16 |
Last Update Date | 2008-04-16 |