| NPI | 1235806746 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: HI ACU1345) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: FL AP4505) |
| 225700000X Massage Therapist (Licence: HI MAT16731) | |
| Enumeration Date | 2021-08-24 |
| Last Update Date | 2023-10-04 |