NPI | 1114110137 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 175F00000X Naturopath (Licence: VT 099-0000176) |
Additional Taxonomies | 171100000X Acupuncturist (Licence: VT 091-0000167) |
Enumeration Date | 2007-08-22 |
Last Update Date | 2007-08-22 |