| NPI | 1245709989 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: FL 4457) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NJ 25MZ00136800) |
| 175F00000X Naturopath | |
| Enumeration Date | 2018-11-23 |
| Last Update Date | 2023-05-03 |