| NPI | 1881148716 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: HI ACU-1261) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: TX AC1619) |
| Enumeration Date | 2016-08-09 |
| Last Update Date | 2024-11-06 |