NPI | 1649457995 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171100000X Acupuncturist (Licence: TN ACU0000000054) |
Additional Taxonomies | 171100000X Acupuncturist (Licence: FL AP191) |
Enumeration Date | 2008-01-29 |
Last Update Date | 2009-07-27 |