| NPI | 1457699597 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: DC AC500161) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: MD U02029) |
| 171100000X Acupuncturist (Licence: VA 0191000902) | |
| 171100000X Acupuncturist (Licence: DE CT-0000003) | |
| Enumeration Date | 2013-01-24 |
| Last Update Date | 2024-02-02 |