| NPI | 1386143956 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 202D00000X Integrative Medicine (Licence: CA ND962) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA 18208) |
| 175F00000X Naturopath (Licence: CA ND962) | |
| Enumeration Date | 2018-02-08 |
| Last Update Date | 2025-01-02 |