NPI | 1902920150 |
---|---|
Other Name | WON HO PARK |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 171100000X Acupuncturist (Licence: WA AC00000071) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA00003764) |
Enumeration Date | 2007-03-16 |
Last Update Date | 2007-07-08 |