| NPI | 1518084573 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: FL AP 1839) |
| Additional Taxonomies | 175F00000X Naturopath (Licence: VT 099-0000178) |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2019-03-12 |