| NPI | 1952288813 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NJ 25MZ00175300) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: PA OM000350) |
| Enumeration Date | 2025-08-20 |
| Last Update Date | 2025-08-21 |