NPI | 1073877114 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171100000X Acupuncturist (Licence: AZ 010081) |
Additional Taxonomies | 171100000X Acupuncturist (Licence: NJ 25MZ00076900) |
171100000X Acupuncturist (Licence: NY 003806) | |
Enumeration Date | 2012-07-03 |
Last Update Date | 2022-09-29 |