| NPI | 1790159846 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: MT MED-ACU-LIC-110532) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: SC ACUP248) |
| Enumeration Date | 2015-11-30 |
| Last Update Date | 2023-03-31 |