| NPI | 1033295225 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: PA K00009) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PA OS002457L) |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2010-03-08 |