| NPI | 1811166168 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: MD U2726) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: RI DA00135) |
| Enumeration Date | 2008-02-20 |
| Last Update Date | 2024-04-30 |