| NPI | 1851678452 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: IL 198.000892) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NM 818) |
| Enumeration Date | 2011-11-09 |
| Last Update Date | 2011-11-09 |