| NPI | 1457556433 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: IL 198000559) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: IL 164007104) |
| 175F00000X Naturopath (Licence: VT 0990000226) | |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2022-07-20 |