| NPI | 1437358843 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: CA 11022) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: OR AC201360) |
| Enumeration Date | 2007-07-16 |
| Last Update Date | 2024-03-27 |