| NPI | 1437427226 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NC 741) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA AC 14298) |
| Enumeration Date | 2011-12-07 |
| Last Update Date | 2020-05-31 |