| NPI | 1871830166 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: FL 3185) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 004769) |
| Enumeration Date | 2013-01-07 |
| Last Update Date | 2013-01-07 |