NPI | 1619198637 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171100000X Acupuncturist (Licence: FL 2499) |
Additional Taxonomies | 171100000X Acupuncturist (Licence: MA 220208) |
Enumeration Date | 2007-05-01 |
Last Update Date | 2008-01-07 |