| NPI | 1003160748 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: AZ 0750) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: WA AC60420884) |
| Enumeration Date | 2012-11-02 |
| Last Update Date | 2014-09-03 |