| NPI | 1174955470 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: OR AC164157) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: OR 164157) |
| 171100000X Acupuncturist (Licence: CA 21349) | |
| Enumeration Date | 2013-08-08 |
| Last Update Date | 2016-11-08 |