| NPI | 1114432184 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: CA AC17955) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NJ 25MZ00159300) |
| Enumeration Date | 2017-12-12 |
| Last Update Date | 2022-04-12 |