| NPI | 1598193963 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: CA AC15591) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: FL AP3168) |
| Enumeration Date | 2013-10-23 |
| Last Update Date | 2024-09-04 |