| NPI | 1255538054 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175F00000X Naturopath (Licence: CA ND-287) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: MN 1361) |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2011-07-05 |