| NPI | 1588982342 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: CA AC 14077) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: CA 3920) |
| 226300000X Kinesiotherapist | |
| 174H00000X Health Educator | |
| Enumeration Date | 2010-05-04 |
| Last Update Date | 2011-07-08 |