| NPI | 1356652101 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: CA 18254) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA rph 60356) |
| Enumeration Date | 2010-06-27 |
| Last Update Date | 2021-11-23 |