| NPI | 1922272756 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NV 2065) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA AC11897) |
| Enumeration Date | 2008-04-14 |
| Last Update Date | 2026-02-18 |