| NPI | 1912660499 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NY 007347) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NC LAC-2071) |
| Enumeration Date | 2021-10-20 |
| Last Update Date | 2023-05-31 |