| NPI | 1417184045 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: SC ACUP141) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: FL AP2646) |
| Enumeration Date | 2009-06-22 |
| Last Update Date | 2011-06-22 |