| NPI | 1699429258 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NJ 25MZ00157700) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 007062) |
| Enumeration Date | 2022-02-11 |
| Last Update Date | 2024-02-05 |