| NPI | 1184863680 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: CO 482) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NM 348Rx1) |
| Enumeration Date | 2009-02-07 |
| Last Update Date | 2009-02-07 |