| NPI | 1619803541 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NJ 25MZ00183400) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 007942) |
| Enumeration Date | 2026-06-19 |
| Last Update Date | 2026-06-19 |