| NPI | 1538296801 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: TN 451) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA 11095) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2021-10-20 |