| NPI | 1760791222 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: FL AP2889) |
| Additional Taxonomies | 175L00000X Homeopath (Licence: FL Ap2889) |
| Enumeration Date | 2010-10-01 |
| Last Update Date | 2010-10-01 |