| NPI | 1992150056 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 202D00000X Integrative Medicine (Licence: PR 44) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: PR 10) |
| Enumeration Date | 2016-04-26 |
| Last Update Date | 2025-09-16 |