NPI | 1497047443 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 171100000X Acupuncturist (Licence: NJ 25MZ00151400) |
Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NJ 40QB00254400) |
Enumeration Date | 2011-05-10 |
Last Update Date | 2021-03-09 |