| NPI | 1588398309 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: AZ 011380) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA 18832) |
| Enumeration Date | 2022-07-16 |
| Last Update Date | 2025-09-23 |