| NPI | 1750934246 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: CA 19960) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: TX AC00725) |
| Enumeration Date | 2019-07-23 |
| Last Update Date | 2024-09-13 |