| NPI | 1144563438 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175F00000X Naturopath (Licence: VT 099.0091947) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: VT 091.0091994) |
| Enumeration Date | 2013-04-04 |
| Last Update Date | 2013-04-04 |