| NPI | 1205697323 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: AZ LAC-012181) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA 18732) |
| Enumeration Date | 2024-01-16 |
| Last Update Date | 2024-01-16 |