| NPI | 1740540228 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: LA ACA200038) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: OR AC156785) |
| Enumeration Date | 2012-05-18 |
| Last Update Date | 2012-05-18 |