| NPI | 1144937210 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: TX ACO2010) |
| Additional Taxonomies | 171400000X Health & Wellness Coach |
| 174H00000X Health Educator | |
| Enumeration Date | 2022-10-28 |
| Last Update Date | 2022-10-28 |