| NPI | 1396918934 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: IL 198.000535) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: RI DA00288) |
| 171100000X Acupuncturist (Licence: WI 452005) | |
| 171100000X Acupuncturist (Licence: AZ 0454) | |
| Enumeration Date | 2008-04-03 |
| Last Update Date | 2008-07-25 |