| NPI | 1225253487 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: IN 84000133A) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA 10028) |
| Enumeration Date | 2007-04-14 |
| Last Update Date | 2024-07-04 |