| NPI | 1285760181 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NY 003399-1) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NY 011823-1) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2007-07-08 |