| NPI | 1902048408 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: OR AC187614) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA 12906) |
| Enumeration Date | 2009-03-30 |
| Last Update Date | 2024-05-22 |