| NPI | 1528104791 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: FL AP738) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL Scope of practice) |
| 175L00000X Homeopath (Licence: FL Scope of practice) | |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2021-03-10 |