| NPI | 1881891018 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: AZ 888) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA AC 9744) |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2021-08-18 |