| NPI | 1861452021 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NH 50) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: MA 206423) |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2007-07-08 |