| NPI | 1356657894 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: OR AC152270) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NE 26) |
| 171100000X Acupuncturist | |
| Enumeration Date | 2010-08-22 |
| Last Update Date | 2023-06-30 |