NPI | 1205122231 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171100000X Acupuncturist (Licence: NJ 25mz00080200) |
Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 003970-1) |
Enumeration Date | 2011-06-28 |
Last Update Date | 2011-06-28 |