| NPI | 1558432039 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NY 0007441) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: PA KO000537) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2020-10-23 |