NPI | 1417956848 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 171100000X Acupuncturist |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11011629) |
Enumeration Date | 2005-07-18 |
Last Update Date | 2024-02-20 |