| NPI | 1487805834 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NY 004488) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA 12344) |
| Enumeration Date | 2008-10-03 |
| Last Update Date | 2010-11-11 |