| 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 |