| NPI | 1326361809 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: AZ LAC-010163) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NJ 25MZ00043700) |
| 171100000X Acupuncturist (Licence: NY 25 001510) | |
| Enumeration Date | 2010-03-11 |
| Last Update Date | 2021-02-22 |