| NPI | 1851467351 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: HI 406) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: HI 2830) |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2010-05-19 |