| NPI | 1043452477 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175F00000X Naturopath (Licence: HI 190) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: HI 914) |
| 175F00000X Naturopath (Licence: OR 1653) | |
| Enumeration Date | 2009-03-31 |
| Last Update Date | 2010-08-24 |