| NPI | 1932430220 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: IL 198001025) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: WI 476-055) |
| Enumeration Date | 2010-01-26 |
| Last Update Date | 2013-12-04 |