NPI | 1861666158 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171100000X Acupuncturist (Licence: GA 491) |
Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 3749) |
Enumeration Date | 2008-04-17 |
Last Update Date | 2021-12-27 |