| NPI | 1356725881 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175F00000X Naturopath (Licence: OR 3007) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 005606-1) |
| Enumeration Date | 2015-07-15 |
| Last Update Date | 2024-01-17 |