NPI | 1104992718 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171100000X Acupuncturist (Licence: NJ 25MZ00053400) |
Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 003995) |
225700000X Massage Therapist (Licence: NY 012347) | |
Enumeration Date | 2006-11-27 |
Last Update Date | 2025-09-11 |