| NPI | 1033308432 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: TX 01085) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA AC 11058) |
| Enumeration Date | 2007-10-22 |
| Last Update Date | 2009-10-09 |