| NPI | 1578759403 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NY 002103) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 0002103) |
| Enumeration Date | 2007-09-25 |
| Last Update Date | 2007-09-25 |