| NPI | 1326336975 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: MA 261375) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: OR AC154490) |
| Enumeration Date | 2011-07-18 |
| Last Update Date | 2025-03-03 |