| NPI | 1225544323 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: LA ACA.200009) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: LA ACA.200009) |
| 171100000X Acupuncturist | |
| Enumeration Date | 2017-12-27 |
| Last Update Date | 2021-07-21 |