| NPI | 1932270444 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NY 000420) |
| Additional Taxonomies | 208D00000X General Practice (Licence: NY A1675571) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2007-07-08 |