| NPI | 1831239367 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: WI 491-055) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: FL AP2493) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2021-01-25 |