| NPI | 1780084426 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: WA AC60798039) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA AC16066) |
| Enumeration Date | 2014-08-29 |
| Last Update Date | 2021-10-06 |