| NPI | 1609040328 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: GA 199) |
| 171100000X Acupuncturist (Licence: FL AP2188) | |
| Enumeration Date | 2008-04-14 |
| Last Update Date | 2021-04-06 |