| NPI | 1487856399 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NJ 25MZ00080500) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 002289) |
| Enumeration Date | 2007-06-03 |
| Last Update Date | 2024-01-08 |