| NPI | 1851533970 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: IL 198.000832) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: IN 84000107A) |
| Enumeration Date | 2009-04-03 |
| Last Update Date | 2010-11-01 |