| NPI | 1588879951 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NH 0014) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: VT 0000057) |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2007-07-08 |