| NPI | 1609087188 |
|---|---|
| Other Name | KEONI KLEIN TETA |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NC 311) |
| Additional Taxonomies | 175F00000X Naturopath (Licence: WA 1225) |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2007-07-08 |