| NPI | 1073783882 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175F00000X Naturopath (Licence: OR 1617) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: OR AC00452) |
| 175L00000X Homeopath (Licence: OR 1617) | |
| Enumeration Date | 2008-03-07 |
| Last Update Date | 2012-02-04 |