| NPI | 1811735798 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: CA 20210) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: CA 80361) |
| Enumeration Date | 2024-07-16 |
| Last Update Date | 2024-11-15 |