| NPI | 1508310681 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: OH 65.000455) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: TX AC01717) |
| Enumeration Date | 2016-08-07 |
| Last Update Date | 2024-06-30 |