| NPI | 1477721447 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: FL AP4191) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: PA AK000855) |
| Enumeration Date | 2008-02-13 |
| Last Update Date | 2023-11-17 |