| NPI | 1306006671 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175F00000X Naturopath (Licence: UT 676818-7101) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: UT 6726818-1201) |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2008-06-11 |