| NPI | 1306289301 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NY 004491) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 004491-2) |
| Enumeration Date | 2013-04-10 |
| Last Update Date | 2024-07-10 |