| 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 |