| NPI | 1821393224 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: CA AC9235) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: CA AC 9235) |
| Enumeration Date | 2011-01-14 |
| Last Update Date | 2013-09-18 |