NPI | 1821305764 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171100000X Acupuncturist (Licence: CT 000488) |
Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 208303176) |
Enumeration Date | 2010-09-13 |
Last Update Date | 2015-11-18 |