| NPI | 1780900522 |
|---|---|
| Former Name | SEUNGMIN LEE |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NY 012933) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 25004025) |
| 225700000X Massage Therapist (Licence: NY 27023434) | |
| Enumeration Date | 2010-04-19 |
| Last Update Date | 2022-07-21 |