| NPI | 1639612591 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: IL 198-001521) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: ID ACU-331) |
| Enumeration Date | 2016-11-28 |
| Last Update Date | 2023-02-09 |