| NPI | 1518033265 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: VA 0121000278) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: DC AC30091) |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2007-07-08 |