| NPI | 1013098938 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: TX AC00427) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: TX 05920) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2025-09-11 |