NPI | 1730218181 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171100000X Acupuncturist (Licence: CT 000258) |
Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 002459-1) |
Enumeration Date | 2007-03-03 |
Last Update Date | 2018-08-11 |