| NPI | 1669907952 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: FL AP3743) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: ZZ AP 3743) |
| Enumeration Date | 2017-04-25 |
| Last Update Date | 2025-02-26 |