| NPI | 1538930367 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: OH 65.000411) |
| Additional Taxonomies | 175F00000X Naturopath (Licence: AZ 21-1957) |
| Enumeration Date | 2024-01-10 |
| Last Update Date | 2024-01-10 |