| NPI | 1831620723 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: AZ 1075) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: 1075) |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2020-11-03 |