| NPI | 1255348769 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: CA AC6953) |
| Additional Taxonomies | 175F00000X Naturopath (Licence: CA ND65) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2018-03-15 |