| NPI | 1962016279 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: RI DAOM00085) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: MA 281889) |
| Enumeration Date | 2020-09-03 |
| Last Update Date | 2020-09-03 |