| NPI | 1073048997 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NJ 25MZ00125500) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 005967) |
| Enumeration Date | 2017-04-28 |
| Last Update Date | 2023-03-13 |