| NPI | 1265836134 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175F00000X Naturopath (Licence: CT 525) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 005514) |
| 175F00000X Naturopath | |
| Enumeration Date | 2014-10-21 |
| Last Update Date | 2022-06-16 |