| NPI | 1427528496 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NJ 25MZ00141100) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 6441) |
| Enumeration Date | 2018-12-03 |
| Last Update Date | 2020-07-12 |