| NPI | 1063699387 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175F00000X Naturopath (Licence: CA ND 182) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA AC 4473) |
| Enumeration Date | 2008-01-29 |
| Last Update Date | 2008-01-29 |