| NPI | 1215380597 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: CA AC 14307) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA AC14307) |
| Enumeration Date | 2016-07-21 |
| Last Update Date | 2023-08-08 |