| NPI | 1619180270 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NJ 25MZ00172500) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NH 1335) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2024-09-09 |