| NPI | 1174874416 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: MI 5402000100) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: IL 198.000823) |
| Enumeration Date | 2012-09-26 |
| Last Update Date | 2025-09-09 |