| NPI | 1114597242 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: CO ACU.0002684) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CO 0002684) |
| Enumeration Date | 2021-06-30 |
| Last Update Date | 2025-03-15 |