| NPI | 1033287263 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: CO 147) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: 004052) |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2016-03-14 |