| NPI | 1699093385 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NY 002992) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: VA 0121000362) |
| Enumeration Date | 2010-05-05 |
| Last Update Date | 2019-03-04 |