NPI | 1639494636 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 171100000X Acupuncturist (Licence: MD U01462) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R113773) |
Enumeration Date | 2010-04-01 |
Last Update Date | 2012-09-26 |