| NPI | 1861897613 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: OH 65.000405) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: WA AC60503216) |
| Enumeration Date | 2014-10-22 |
| Last Update Date | 2025-07-11 |