| NPI | 1043667728 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NE 77) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: VA 0121-0008804) |
| Enumeration Date | 2016-05-23 |
| Last Update Date | 2024-05-30 |