NPI | 1477654606 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171100000X Acupuncturist (Licence: CA AC7399) |
Additional Taxonomies | 171100000X Acupuncturist (Licence: MA 209214) |
Enumeration Date | 2006-09-26 |
Last Update Date | 2007-07-08 |