| NPI | 1033309182 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: CA AC 16975) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCS18924) |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2016-05-25 |