| NPI | 1306131008 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: CA AC 13964) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA DC 31707) |
| Enumeration Date | 2011-06-10 |
| Last Update Date | 2019-09-27 |