| NPI | 1336406966 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: CA AC14637) |
| Additional Taxonomies | 175F00000X Naturopath (Licence: CA ND854) |
| Enumeration Date | 2012-04-20 |
| Last Update Date | 2024-10-19 |