| NPI | 1164731741 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NC 564) |
| Additional Taxonomies | 174H00000X Health Educator |
| 175F00000X Naturopath | |
| 225700000X Massage Therapist (Licence: NC 4091) | |
| Enumeration Date | 2010-09-30 |
| Last Update Date | 2010-09-30 |