| NPI | 1306016837 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NY 0003348) |
| Additional Taxonomies | 175F00000X Naturopath (Licence: CT 000392) |
| Enumeration Date | 2008-03-12 |
| Last Update Date | 2011-02-01 |