| NPI | 1851839575 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: IL 198001353) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: IN 84000192A.) |
| Enumeration Date | 2017-02-01 |
| Last Update Date | 2019-02-13 |