NPI | 1073859393 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171100000X Acupuncturist (Licence: NJ 25MZ00094300) |
Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 004739) |
Enumeration Date | 2012-12-13 |
Last Update Date | 2021-08-12 |