NPI | 1326241910 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 171100000X Acupuncturist (Licence: NY 002925) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: NJ 38MC00636500) |
111N00000X Chiropractor (Licence: NY 010764) | |
171100000X Acupuncturist (Licence: NJ 25MZ00048000) | |
Enumeration Date | 2007-06-09 |
Last Update Date | 2016-10-07 |