NPI | 1952519571 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171100000X Acupuncturist (Licence: CA AC 4833) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: CA DC 20636) |
Enumeration Date | 2007-05-18 |
Last Update Date | 2025-09-11 |