| NPI | 1538199005 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: FL AP3512) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA AC11005) |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2014-10-23 |