| NPI | 1427526722 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NJ 25MZ00130400) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 005248) |
| Enumeration Date | 2018-11-05 |
| Last Update Date | 2024-10-02 |