| NPI | 1235451733 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: GA 226) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA 6931) |
| 171100000X Acupuncturist (Licence: TN 140) | |
| Enumeration Date | 2010-02-24 |
| Last Update Date | 2010-02-24 |