| NPI | 1013012194 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: FL AP 1343) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NM 762) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2013-09-17 |