| NPI | 1750672374 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NY 004494-1) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 004494) |
| Enumeration Date | 2011-04-30 |
| Last Update Date | 2023-04-11 |