| NPI | 1720403876 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: CT ND100203) |
| Additional Taxonomies | 175L00000X Homeopath |
| 173C00000X Reflexologist | |
| Enumeration Date | 2014-02-26 |
| Last Update Date | 2014-03-03 |