| NPI | 1982916177 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: MA 245793) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NH 185) |
| Enumeration Date | 2010-07-05 |
| Last Update Date | 2013-09-10 |