| NPI | 1376344556 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: CA 18195) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 006858) |
| Enumeration Date | 2025-03-22 |
| Last Update Date | 2025-03-22 |