NPI | 1902227648 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171100000X Acupuncturist (Licence: GA 363) |
Additional Taxonomies | 171100000X Acupuncturist (Licence: FL 3382) |
Enumeration Date | 2013-12-24 |
Last Update Date | 2016-06-24 |