| NPI | 1881828127 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: FL AP4520) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA ac12823) |
| Enumeration Date | 2009-05-14 |
| Last Update Date | 2024-11-08 |