| NPI | 1316905037 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: OR AC00398) |
| Additional Taxonomies | 175F00000X Naturopath (Licence: OR 975) |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2007-07-08 |