| NPI | 1003139437 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NY 0042581) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA AC12699) |
| Enumeration Date | 2010-03-12 |
| Last Update Date | 2010-03-12 |