| NPI | 1942377684 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: RI DA00103) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: MA 585) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2018-01-12 |