| NPI | 1477200061 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: CA AC19196) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA 19196) |
| Enumeration Date | 2022-03-03 |
| Last Update Date | 2022-03-03 |