| NPI | 1699454884 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NY 007370) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: OH 65.000445) |
| 171100000X Acupuncturist (Licence: MD U03081) | |
| Enumeration Date | 2023-07-14 |
| Last Update Date | 2025-02-21 |