| NPI | 1881878049 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: MT MED-ACU-LIC-90462) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: UT 13194521-1201) |
| 171100000X Acupuncturist (Licence: CA AC-6518) | |
| 171100000X Acupuncturist (Licence: CA AC 6518) | |
| Enumeration Date | 2007-12-24 |
| Last Update Date | 2023-03-14 |