| NPI | 1851539936 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NY 001107) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 1107) |
| Enumeration Date | 2009-01-28 |
| Last Update Date | 2011-02-07 |