| NPI | 1477693067 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NY 001500) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: PA AK000771) |
| 175L00000X Homeopath | |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2008-04-24 |