| NPI | 1902039472 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: WV 96190) |
| Additional Taxonomies | 175F00000X Naturopath (Licence: DC NAT1000173) |
| 376K00000X Nurse's Aide (Licence: FL CNA191405) | |
| 1744R1102X Specialist Research Study | |
| Enumeration Date | 2009-08-31 |
| Last Update Date | 2009-09-01 |