| NPI | 1316130875 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NJ 275) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NY 002192) |
| 171100000X Acupuncturist (Licence: NY 908) | |
| Enumeration Date | 2007-08-19 |
| Last Update Date | 2011-06-15 |