| NPI | 1982840070 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: CA AC12600) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA Ac12628) |
| 171100000X Acupuncturist (Licence: CA Ac 6970) | |
| Enumeration Date | 2008-12-19 |
| Last Update Date | 2009-10-02 |