| NPI | 1326262908 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: GA 274) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA AC 11082) |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2010-11-30 |