NPI | 1992027569 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171100000X Acupuncturist (Licence: MD U01922) |
Additional Taxonomies | 171100000X Acupuncturist (Licence: KY AC041) |
171100000X Acupuncturist (Licence: NJ 25MZ00050500) | |
Enumeration Date | 2010-02-23 |
Last Update Date | 2012-02-03 |