NPI | 1871753582 |
---|---|
Former Name | YOUNG SHIG O |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171100000X Acupuncturist (Licence: CA AC10624) |
Additional Taxonomies | 171100000X Acupuncturist (Licence: CA CA10624) |
Enumeration Date | 2008-06-16 |
Last Update Date | 2019-03-15 |