| NPI | 1215171137 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NM 993) |
| Additional Taxonomies | 174400000X Specialist (Licence: NM 993) |
| Enumeration Date | 2009-04-22 |
| Last Update Date | 2009-11-05 |