| NPI | 1508023664 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: FL ap 3556) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA 10718) |
| Enumeration Date | 2008-05-16 |
| Last Update Date | 2016-02-10 |