| NPI | 1548037674 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: KY TAC161) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: TX AC02134) |
| Enumeration Date | 2023-12-08 |
| Last Update Date | 2025-10-22 |