| NPI | 1851631873 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: AZ APLAC1013) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: FL AP3431) |
| 171100000X Acupuncturist (Licence: AZ 1013) | |
| Enumeration Date | 2013-02-28 |
| Last Update Date | 2021-09-16 |