| NPI | 1932501582 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: FL AP 956) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: FL NC 247) |
| Enumeration Date | 2014-09-25 |
| Last Update Date | 2014-09-25 |