| NPI | 1043565591 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: CA AC14050) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA 117797) |
| Enumeration Date | 2012-07-20 |
| Last Update Date | 2019-05-29 |