| NPI | 1548595390 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NY 002975-1) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NJ 25MZ00043000) |
| Enumeration Date | 2009-10-13 |
| Last Update Date | 2009-10-13 |