| NPI | 1356510028 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175F00000X Naturopath (Licence: AZ 08-1042) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: AZ 0343) |
| Enumeration Date | 2008-02-26 |
| Last Update Date | 2008-02-26 |