| NPI | 1326298944 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: FL AP2023) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: OR AC01016) |
| 171100000X Acupuncturist (Licence: WA AC60264885) | |
| Enumeration Date | 2008-09-19 |
| Last Update Date | 2024-02-18 |