| NPI | 1568612976 |
|---|---|
| Former Name | MYUNGSOO MO |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: CA 11989) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: MD U01843) |
| Enumeration Date | 2008-09-22 |
| Last Update Date | 2020-02-21 |