| NPI | 1346573706 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175F00000X Naturopath (Licence: OR 0790) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: OR AC00273) |
| Enumeration Date | 2009-09-16 |
| Last Update Date | 2022-07-21 |