| NPI | 1316199367 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NJ MZ00061700) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 003767) |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2008-10-21 |