| NPI | 1235286089 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NJ 25MZ00035000) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA AC9290) |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2016-03-15 |