| NPI | 1629386966 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: VA 0121000529) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA AC9582) |
| 171100000X Acupuncturist (Licence: ZZ 200531141197009) | |
| Enumeration Date | 2010-09-21 |
| Last Update Date | 2010-09-21 |