NPI | 1497133383 |
---|---|
Former Name | BYEONGAN HAN |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171100000X Acupuncturist (Licence: GA 456) |
Additional Taxonomies | 171100000X Acupuncturist (Licence: CA AC15295) |
Enumeration Date | 2015-05-11 |
Last Update Date | 2022-12-23 |