| NPI | 1093356750 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175F00000X Naturopath (Licence: OR 4259) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: OR AC195531) |
| Enumeration Date | 2019-10-03 |
| Last Update Date | 2026-07-04 |