| NPI | 1437188422 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: IL 198.000661) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 038-008024) |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2024-03-14 |