| NPI | 1750554580 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: CT 000118) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 001144) |
| Enumeration Date | 2008-04-14 |
| Last Update Date | 2018-04-04 |