| NPI | 1295018208 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: WA AC60244418) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: OR 155797) |
| 171100000X Acupuncturist (Licence: HI 1105) | |
| Enumeration Date | 2011-09-26 |
| Last Update Date | 2016-08-03 |