| NPI | 1457493322 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: OH 65.000003) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NM 561) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2007-07-08 |