| NPI | 1295571040 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NY 007101) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NY 031557) |
| Enumeration Date | 2024-07-02 |
| Last Update Date | 2024-07-02 |