| NPI | 1033300207 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: WI 291-055) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WI 304-122) |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2007-08-05 |