| NPI | 1306396221 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: CA AC 17289) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CO 0002476) |
| Enumeration Date | 2016-10-04 |
| Last Update Date | 2023-03-17 |