NPI | 1033250659 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 171100000X Acupuncturist (Licence: IL 198-000104) |
Additional Taxonomies | 171100000X Acupuncturist (Licence: WI 536-055) |
171100000X Acupuncturist (Licence: FL AP 2087) | |
Enumeration Date | 2007-02-08 |
Last Update Date | 2020-04-13 |