| NPI | 1215178082 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: CA AC9503) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA DC30810) |
| Enumeration Date | 2009-03-09 |
| Last Update Date | 2009-03-09 |