| NPI | 1477579258 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NY 001312) |
| Additional Taxonomies | 175F00000X Naturopath (Licence: NY 001312) |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2007-07-08 |