| NPI | 1598258345 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: OR AC196721) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: ID ACU-353) |
| 175F00000X Naturopath | |
| Enumeration Date | 2018-06-06 |
| Last Update Date | 2020-02-21 |