| NPI | 1760760466 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: CA AC14045) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA 14045) |
| Enumeration Date | 2011-07-28 |
| Last Update Date | 2018-04-08 |