| NPI | 1225090111 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: MD U00865) |
| Additional Taxonomies | 175F00000X Naturopath (Licence: DC NAT249) |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2008-03-27 |