| NPI | 1851882609 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: PA O000232) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CO ACU.0002754) |
| Enumeration Date | 2018-05-28 |
| Last Update Date | 2022-05-10 |