| NPI | 1073941399 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175F00000X Naturopath (Licence: OR 1993) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: OR AC164517) |
| Enumeration Date | 2013-10-23 |
| Last Update Date | 2013-10-23 |