| NPI | 1952523755 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NY 003505-1) |
| Additional Taxonomies | 175F00000X Naturopath (Licence: VT 099-0000222) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2007-07-08 |