| NPI | 1356884019 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: ME AC551) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: HI 1168) |
| Enumeration Date | 2016-11-29 |
| Last Update Date | 2016-11-29 |