| NPI | 1629190426 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: IL 198001505) |
| Additional Taxonomies | 172P00000X Naprapath (Licence: IL 181000300) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2021-10-21 |