NPI | 1255338273 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 175F00000X Naturopath (Licence: OR 1224) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: OR 273050) |
111N00000X Chiropractor (Licence: OR 3050) | |
Enumeration Date | 2005-07-05 |
Last Update Date | 2021-02-19 |