| NPI | 1487913208 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: CO 1778) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 003508) |
| Enumeration Date | 2012-05-14 |
| Last Update Date | 2012-05-14 |