| NPI | 1821486325 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: CA AC14804) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA DC30761) |
| Enumeration Date | 2015-01-06 |
| Last Update Date | 2015-01-06 |