NPI | 1841417847 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171100000X Acupuncturist (Licence: CA 10759) |
Additional Taxonomies | 174400000X Specialist (Licence: CA 5481) |
Enumeration Date | 2007-04-19 |
Last Update Date | 2008-11-11 |