| NPI | 1740406180 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: CA 10176) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA AC10176) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2018-05-04 |