| NPI | 1841417847 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: CA 10759) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA 5481) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2008-11-11 |