| NPI | 1144369448 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175F00000X Naturopath (Licence: AZ 97-505) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: AZ 0037) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2016-03-31 |