| NPI | 1194368670 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: CO ACU.0002527) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: TX AC01938) |
| Enumeration Date | 2019-10-28 |
| Last Update Date | 2019-10-28 |