| NPI | 1447488283 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: MT 113) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA AC 5521) |
| Enumeration Date | 2009-07-01 |
| Last Update Date | 2009-07-01 |