| 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 |