| NPI | 1386013852 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NH 279) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 005636-1) |
| Enumeration Date | 2015-09-15 |
| Last Update Date | 2019-03-22 |