| NPI | 1073627402 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175F00000X Naturopath (Licence: OR 693) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: OR AC00538) |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2024-09-11 |