| NPI | 1922179076 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: CO 774) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA 6854) |
| Enumeration Date | 2006-11-12 |
| Last Update Date | 2007-07-08 |