NPI | 1760534812 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171100000X Acupuncturist (Licence: CA AC1464) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT9808) |
Enumeration Date | 2007-01-17 |
Last Update Date | 2012-09-24 |