| NPI | 1124531710 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NJ 25MN00128000) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 006037) |
| 171100000X Acupuncturist (Licence: VA 0121000852) | |
| Enumeration Date | 2017-11-06 |
| Last Update Date | 2023-06-26 |