| NPI | 1467944884 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: CT 730) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NJ 25MZ00131900) |
| Enumeration Date | 2018-06-01 |
| Last Update Date | 2018-10-14 |