| NPI | 1881911675 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: OR AC181559) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: AK 144) |
| Enumeration Date | 2010-05-03 |
| Last Update Date | 2017-03-28 |