| NPI | 1881804326 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NY 001324) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NJ 25MZ00032300) |
| 171100000X Acupuncturist (Licence: CT 000276) | |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2007-07-08 |