| NPI | 1881898062 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: WA AC00002447) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA AC7825) |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2008-07-17 |