| NPI | 1033261698 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: CA AC 10932) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: IL 198.001687) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2025-03-24 |