| NPI | 1154460657 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: WA AC00002383) |
| Additional Taxonomies | 171R00000X Interpreter (Licence: WA MC5257) |
| 171R00000X Interpreter (Licence: WA MC6519) | |
| 225700000X Massage Therapist (Licence: WA MA00015914) | |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2019-10-24 |