| NPI | 1790933463 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NY 000145) |
| Additional Taxonomies | 175F00000X Naturopath (Licence: NY 000145) |
| 175F00000X Naturopath | |
| Enumeration Date | 2008-09-05 |
| Last Update Date | 2008-09-05 |