| NPI | 1003073354 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: IL 198000472) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051296098) |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2021-01-15 |