| NPI | 1760749352 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: CA AC5070) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: GA 215) |
| Enumeration Date | 2012-04-19 |
| Last Update Date | 2012-04-19 |