NPI | 1689100646 |
---|---|
Other Name | CHILAN MUSTAIN |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171100000X Acupuncturist (Licence: AZ 0951) |
Additional Taxonomies | 171100000X Acupuncturist (Licence: NM 1168) |
Enumeration Date | 2017-05-11 |
Last Update Date | 2017-05-11 |