| NPI | 1487101275 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: OR AC01221) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: WA AC00002995) |
| Enumeration Date | 2016-09-08 |
| Last Update Date | 2016-09-08 |