| NPI | 1629371984 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: IL 198000961) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: RI DA00369) |
| Enumeration Date | 2010-12-08 |
| Last Update Date | 2010-12-08 |