| NPI | 1013102243 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: HI ACU-1125) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: MD U00898) |
| 171100000X Acupuncturist (Licence: VA 0121000148) | |
| 171100000X Acupuncturist (Licence: DC AC30015) | |
| 225700000X Massage Therapist (Licence: HI MAT-17543) | |
| Enumeration Date | 2007-09-11 |
| Last Update Date | 2023-07-20 |