| NPI | 1194988667 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NY 003835) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CT 000445) |
| 171100000X Acupuncturist (Licence: VA 0121000509) | |
| 171100000X Acupuncturist (Licence: IN 84000101A) | |
| Enumeration Date | 2008-07-05 |
| Last Update Date | 2008-07-05 |