| NPI | 1457625170 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: OH 65.000442) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 25-004187) |
| Enumeration Date | 2012-02-27 |
| Last Update Date | 2024-10-16 |