| NPI | 1497910806 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: FL AP 2462) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: FL AP2462) |
| Enumeration Date | 2008-07-24 |
| Last Update Date | 2021-04-15 |