NPI | 1386953578 |
---|---|
Former Name | TINEKE MALUS |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 175F00000X Naturopath (Licence: OR 1755) |
Additional Taxonomies | 172P00000X Naprapath (Licence: CA 794) |
175F00000X Naturopath (Licence: UT 291919-7100) | |
Enumeration Date | 2010-10-05 |
Last Update Date | 2020-12-15 |