| NPI | 1386978930 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175F00000X Naturopath (Licence: NY 20090065764) |
| Additional Taxonomies | 173C00000X Reflexologist (Licence: NY 20090065764) |
| 175L00000X Homeopath (Licence: NY 20090065764) | |
| Enumeration Date | 2009-09-30 |
| Last Update Date | 2009-09-30 |