| NPI | 1437536695 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NC 957) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: IL 198.001238) |
| Enumeration Date | 2015-04-27 |
| Last Update Date | 2020-06-08 |