| NPI | 1710116157 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NH 282) |
| Additional Taxonomies | 171100000X Acupuncturist |
| 171100000X Acupuncturist (Licence: MA 241990) | |
| Enumeration Date | 2009-07-07 |
| Last Update Date | 2020-08-19 |