NPI | 1669687661 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171100000X Acupuncturist (Licence: NJ 25MZ00073300) |
Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 001200) |
Enumeration Date | 2007-05-11 |
Last Update Date | 2016-03-16 |