| NPI | 1760058523 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: MD U02818) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 006799-01) |
| Enumeration Date | 2021-06-02 |
| Last Update Date | 2024-10-17 |