NPI | 1932392297 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171100000X Acupuncturist (Licence: CA 11235) |
Additional Taxonomies | 171100000X Acupuncturist (Licence: AZ 674) |
Enumeration Date | 2007-08-21 |
Last Update Date | 2009-04-14 |