| 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 |