| NPI | 1568245710 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NY 007317) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NJ 25MZ00173200) |
| Enumeration Date | 2023-08-14 |
| Last Update Date | 2025-10-09 |