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 |