| NPI | 1275546053 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: CO 4077) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CO 4077) |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2025-09-11 |