| NPI | 1295427201 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NJ 25MZ00167500) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 007343) |
| Enumeration Date | 2023-05-26 |
| Last Update Date | 2024-09-19 |