| NPI | 1447727433 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NJ 25MZ00160000) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 00638801) |
| Enumeration Date | 2018-10-27 |
| Last Update Date | 2024-03-18 |