| NPI | 1528024155 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: FL AP916) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL MA7397) |
| Enumeration Date | 2006-04-22 |
| Last Update Date | 2007-07-08 |