| NPI | 1144424664 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175F00000X Naturopath (Licence: VT 0047116) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: VT 0050447) |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2012-10-26 |