| NPI | 1770724932 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: CA 9577) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: HI 734) |
| Enumeration Date | 2009-03-18 |
| Last Update Date | 2009-03-18 |