| NPI | 1225217508 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: AZ 1067) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA AC12024) |
| Enumeration Date | 2007-11-02 |
| Last Update Date | 2023-06-07 |