NPI | 1346753605 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 175F00000X Naturopath (Licence: OR 4449) |
Additional Taxonomies | 171100000X Acupuncturist (Licence: OR AC210340) |
225700000X Massage Therapist (Licence: OR 22773) | |
Enumeration Date | 2017-11-08 |
Last Update Date | 2024-06-17 |