| NPI | 1942258496 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: HI ACU-671) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: AR DOM 021) |
| 171100000X Acupuncturist (Licence: WA AC00000652) | |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2014-07-22 |