| NPI | 1689051294 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: PA AK001127) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: MD U02210) |
| Enumeration Date | 2015-05-04 |
| Last Update Date | 2019-09-24 |