| NPI | 1740660281 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NE 54) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: IA A-84) |
| Enumeration Date | 2015-05-29 |
| Last Update Date | 2019-11-10 |