| NPI | 1003175290 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: DC AC500226) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA AC14487) |
| Enumeration Date | 2012-05-09 |
| Last Update Date | 2022-12-19 |