| NPI | 1326342569 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: DC AC500180) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: MD U02089) |
| 171100000X Acupuncturist (Licence: VA 0121000718) | |
| 171100000X Acupuncturist | |
| Enumeration Date | 2011-01-03 |
| Last Update Date | 2013-12-31 |