| NPI | 1023454170 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: FL AP3541) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CT 470) |
| Enumeration Date | 2013-05-16 |
| Last Update Date | 2018-03-17 |