| NPI | 1851634448 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NY 005203-1) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NJ 25MZ00095200) |
| Enumeration Date | 2013-04-01 |
| Last Update Date | 2024-04-19 |