| NPI | 1932356953 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: CA 12049) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: FL 2866) |
| Enumeration Date | 2008-08-20 |
| Last Update Date | 2023-05-03 |