| NPI | 1932540341 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: VA 0121001070) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: DC AC500145) |
| Enumeration Date | 2013-07-13 |
| Last Update Date | 2024-02-14 |