| NPI | 1932338456 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NJ 25MZ00123600) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 3981) |
| Enumeration Date | 2009-07-06 |
| Last Update Date | 2024-06-03 |