| NPI | 1730272774 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NY 002999) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: RI da00251) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2007-07-08 |