| NPI | 1215901566 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: SC 57) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA 9018) |
| 171100000X Acupuncturist (Licence: RI DA00193) | |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2008-09-11 |