| NPI | 1396982484 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: IN 84000124A) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA AC12581) |
| Enumeration Date | 2009-01-12 |
| Last Update Date | 2010-09-17 |