| NPI | 1376306126 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: HI ACU-1417) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: TX AC01583) |
| Enumeration Date | 2024-02-05 |
| Last Update Date | 2024-02-05 |