| NPI | 1023091048 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: MD ACU021) |
| Additional Taxonomies | 208600000X Surgery (Licence: MD D0007437) |
| Enumeration Date | 2005-11-23 |
| Last Update Date | 2007-07-08 |