| NPI | 1427459247 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: MA 278671) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 005422) |
| Enumeration Date | 2014-09-11 |
| Last Update Date | 2022-05-02 |