| NPI | 1598385908 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: IL 198001629) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: IL 164.007956) |
| Enumeration Date | 2020-04-26 |
| Last Update Date | 2023-10-04 |