| NPI | 1033220009 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NM 247) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: TX AC00282) |
| 171100000X Acupuncturist (Licence: HI ACU559) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2007-07-08 |