| NPI | 1447445598 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NC 2039) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA AC9465) |
| Enumeration Date | 2007-09-12 |
| Last Update Date | 2023-06-05 |