| NPI | 1962511733 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: FL AP2534) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: WA AC00002134) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2015-08-05 |