| NPI | 1326174129 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: WA AC00002943) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA AC9698) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2007-07-08 |