| NPI | 1538556543 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NJ 25MZ00110200) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR15780100) |
| 171100000X Acupuncturist (Licence: NJ 25MY00001700) | |
| 171100000X Acupuncturist (Licence: PA KO000590) | |
| Enumeration Date | 2015-04-17 |
| Last Update Date | 2023-05-23 |