| NPI | 1275559296 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OR MD21972) |
| Additional Taxonomies | 2084P0015X Psychiatry & Neurology, Psychosomatic Medicine (Licence: OR MD21972) |
| 171100000X Acupuncturist (Licence: OR MD21972) | |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2014-12-23 |