| NPI | 1659683126 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: MN 1779) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA 13454) |
| Enumeration Date | 2010-07-13 |
| Last Update Date | 2015-11-18 |