| NPI | 1588725402 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: IA A44) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: FL AP0583) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2013-02-18 |