| NPI | 1568550432 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: OR AC140938) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA 6898) |
| 171100000X Acupuncturist (Licence: MO 2003003449) | |
| 171100000X Acupuncturist (Licence: NY 003594) | |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2010-11-06 |