| NPI | 1073940722 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: WI 2255) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: IL 164004084) |
| 171100000X Acupuncturist (Licence: IL 198000128) | |
| 171100000X Acupuncturist (Licence: FL AP126) | |
| 172P00000X Naprapath (Licence: IL 181000186) | |
| Enumeration Date | 2013-09-26 |
| Last Update Date | 2013-09-26 |