| NPI | 1669721882 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NY 005694) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA 14736) |
| Enumeration Date | 2012-09-04 |
| Last Update Date | 2016-02-23 |