| NPI | 1700162989 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NM 994) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 004048-1) |
| 171100000X Acupuncturist (Licence: TX AC01128) | |
| Enumeration Date | 2011-11-01 |
| Last Update Date | 2011-11-01 |