| NPI | 1982917571 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: OH 65.000438) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA AC 13553) |
| Enumeration Date | 2010-07-23 |
| Last Update Date | 2024-01-31 |