| NPI | 1568831980 |
|---|---|
| Other Name | KEN LAO |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: PA AK001166) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NJ 25MZ00122200) |
| Enumeration Date | 2015-09-15 |
| Last Update Date | 2016-10-20 |