| NPI | 1427250414 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: IL 198-000537) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: WI 362-055) |
| Enumeration Date | 2007-06-03 |
| Last Update Date | 2014-04-03 |