| NPI | 1891874996 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NV 1031) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA 10063) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2017-02-09 |