| NPI | 1750936282 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NH 310) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: HI ACU-1257) |
| Enumeration Date | 2019-08-01 |
| Last Update Date | 2022-01-03 |