| NPI | 1881847309 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: CO 0001929) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: FL AP2556) |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2022-07-21 |