| NPI | 1225293970 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NE 100) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: PA KO000601) |
| Enumeration Date | 2008-07-22 |
| Last Update Date | 2025-11-21 |