| NPI | 1194158014 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: MT 217) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CO 1416) |
| Enumeration Date | 2013-08-14 |
| Last Update Date | 2013-08-14 |