| NPI | 1265534085 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NM 177) |
| Additional Taxonomies | 174400000X Specialist (Licence: NM 0018) |
| 172P00000X Naprapath (Licence: NM 0018) | |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2009-06-06 |