| NPI | 1972542686 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NH 096) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CO 772) |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2019-06-26 |