| NPI | 1649441445 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: AZ 0555) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: AZ 555) |
| Enumeration Date | 2008-03-19 |
| Last Update Date | 2023-02-07 |