| NPI | 1932722709 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NJ 25MZ00161700) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 006252) |
| Enumeration Date | 2020-05-27 |
| Last Update Date | 2025-11-12 |