| NPI | 1841481272 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: IN 84000084A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 289093064) |
| Enumeration Date | 2007-08-09 |
| Last Update Date | 2007-08-09 |