NPI | 1922342419 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171100000X Acupuncturist (Licence: OR AC160475) |
Additional Taxonomies | 171100000X Acupuncturist (Licence: CA AC15033) |
Enumeration Date | 2012-11-21 |
Last Update Date | 2014-02-28 |