| NPI | 1114109071 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: HI ACU1213) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA AC11658) |
| Enumeration Date | 2007-12-03 |
| Last Update Date | 2018-02-27 |