| NPI | 1245592518 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: CA AC6849) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA 6849) |
| Enumeration Date | 2012-06-13 |
| Last Update Date | 2023-08-28 |