| NPI | 1831425909 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NY 003718-1) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: PA KO000619) |
| Enumeration Date | 2009-10-26 |
| Last Update Date | 2009-10-26 |