| NPI | 1518994151 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: ME MT901) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: ME AC109) |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2025-09-11 |