| NPI | 1134332224 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: AZ 0641) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: IL 198.000713) |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2016-04-13 |