| NPI | 1689914160 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: FL AP3562) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 002379-1) |
| Enumeration Date | 2013-02-21 |
| Last Update Date | 2025-01-17 |