| NPI | 1457772998 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: VA 0121000123) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: MD u00358) |
| Enumeration Date | 2013-12-31 |
| Last Update Date | 2013-12-31 |