| NPI | 1407201015 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: CA AC17009) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA 17009) |
| 111N00000X Chiropractor (Licence: CA DC36237) | |
| Enumeration Date | 2016-05-02 |
| Last Update Date | 2023-08-07 |