| NPI | 1134272198 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NY 000639) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NJ MZ000172) |
| Enumeration Date | 2007-01-20 |
| Last Update Date | 2007-07-08 |