| NPI | 1063889145 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: TN 316) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: FL AP 3496) |
| Enumeration Date | 2015-08-25 |
| Last Update Date | 2018-03-17 |