| NPI | 1881859619 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: WI 308-055) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WI 1017-046) |
| Enumeration Date | 2008-07-21 |
| Last Update Date | 2008-07-21 |