| NPI | 1316275936 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: MA 226946) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CT 000357) |
| Enumeration Date | 2009-11-19 |
| Last Update Date | 2009-11-19 |