| NPI | 1831262146 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: FL AP1162) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL OT1273) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2007-07-08 |