| NPI | 1437273554 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MO 2009005471) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: MO 2009005471) |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2024-04-25 |