| NPI | 1609227446 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NE 29) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA 13585) |
| Enumeration Date | 2016-06-23 |
| Last Update Date | 2016-06-23 |