| NPI | 1407949126 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: CA AC9538) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA 9538) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2021-02-23 |