| NPI | 1437279510 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: ID ACC195) |
| Additional Taxonomies | 133NN1002X Nutritionist Nutrition, Education |
| 101YP1600X Counselor Pastoral | |
| 103G00000X Clinical Neuropsychologist | |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2022-08-23 |