| NPI | 1215291646 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NY 003554) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NY 013576) |
| 173C00000X Reflexologist (Licence: NY 013576) | |
| Enumeration Date | 2012-06-29 |
| Last Update Date | 2012-06-29 |