| NPI | 1487072500 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NC 468) |
| Additional Taxonomies | 173C00000X Reflexologist (Licence: NC 7857) |
| Enumeration Date | 2014-04-05 |
| Last Update Date | 2014-04-05 |