NPI | 1659683126 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 171100000X Acupuncturist (Licence: MN 1779) |
Additional Taxonomies | 171100000X Acupuncturist (Licence: CA 13454) |
Enumeration Date | 2010-07-13 |
Last Update Date | 2015-11-18 |