| NPI | 1932354081 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: MD U00579) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: ME AC275) |
| Enumeration Date | 2008-11-17 |
| Last Update Date | 2012-07-02 |