| NPI | 1669898045 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: IL 198000532) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: IN 84000058A) |
| Enumeration Date | 2014-03-10 |
| Last Update Date | 2014-03-10 |