| NPI | 1497087316 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: ME AC 213) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA 12626) |
| Enumeration Date | 2010-02-02 |
| Last Update Date | 2010-02-02 |