| NPI | 1891136875 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NY 004990) |
| Additional Taxonomies | 133N00000X Nutritionist |
| 175L00000X Homeopath | |
| Enumeration Date | 2013-07-08 |
| Last Update Date | 2024-07-19 |