| NPI | 1093757114 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175F00000X Naturopath (Licence: OR 1448) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: OR AC00986) |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2014-10-23 |