| NPI | 1487878542 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: PR 077) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 07419) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2007-07-08 |