| NPI | 1992027569 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: MD U01922) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: KY AC041) |
| 171100000X Acupuncturist (Licence: NJ 25MZ00050500) | |
| Enumeration Date | 2010-02-23 |
| Last Update Date | 2012-02-03 |