| NPI | 1083715536 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175F00000X Naturopath (Licence: OR 0666) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: OR AC00129) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2015-08-31 |