| NPI | 1740395797 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: IN 84000034A) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05003768A) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2025-09-11 |