| NPI | 1235370669 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: MT 28713) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: WA AC60040688) |
| Enumeration Date | 2009-03-14 |
| Last Update Date | 2016-08-23 |