| NPI | 1720228133 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: OR AC 822) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA AC 8372) |
| Enumeration Date | 2009-02-25 |
| Last Update Date | 2009-02-25 |