| NPI | 1437354453 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: ID ACU-119) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: ID NM 831) |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2007-07-09 |