| NPI | 1922372515 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: PA OM000256) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: FL 3045) |
| Enumeration Date | 2012-02-29 |
| Last Update Date | 2022-09-23 |