| NPI | 1386659019 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: RI 00071) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: RI DA00145) |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2020-07-01 |