NPI | 1538266101 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171100000X Acupuncturist (Licence: CA AC 1590) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: CA DC12099) |
Enumeration Date | 2006-09-17 |
Last Update Date | 2025-09-11 |