| NPI | 1265660260 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: HI ACU-942) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: OR AC01215) |
| Enumeration Date | 2009-06-29 |
| Last Update Date | 2018-03-17 |