| NPI | 1578818613 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: CA AC7412) |
| Additional Taxonomies | 174H00000X Health Educator (Licence: CA AC7412) |
| Enumeration Date | 2012-07-15 |
| Last Update Date | 2012-07-15 |