| NPI | 1407079288 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: OR AC160378) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NM 947) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2015-06-03 |