| NPI | 1760089023 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NY 006830) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: MD U02662) |
| 171100000X Acupuncturist (Licence: DC AC500313) | |
| Enumeration Date | 2020-10-08 |
| Last Update Date | 2023-02-20 |