| NPI | 1497263396 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NY 006482) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NY 029697) |
| Enumeration Date | 2018-01-14 |
| Last Update Date | 2024-04-24 |