| NPI | 1942477070 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: CA AC008471) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: AZ AC0263) |
| Enumeration Date | 2008-05-08 |
| Last Update Date | 2008-05-08 |