| NPI | 1730398470 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: AR L.Ac.034) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: AR DOM034) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2018-04-04 |