| NPI | 1811228000 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NY 004275-1) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 00427501) |
| Enumeration Date | 2010-01-27 |
| Last Update Date | 2023-08-31 |