| NPI | 1396887170 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: FL AP1602) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 001389) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2007-07-08 |