| NPI | 1275775686 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: FL AP2244) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: WA 00002548) |
| Enumeration Date | 2009-03-31 |
| Last Update Date | 2009-03-31 |