| NPI | 1518382969 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: CA 16159) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA 32793) |
| Enumeration Date | 2014-02-21 |
| Last Update Date | 2014-09-26 |