| NPI | 1053452763 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NC 935) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: WA ac786) |
| 171100000X Acupuncturist (Licence: WA 786) | |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2023-03-17 |