| NPI | 1396999322 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175F00000X Naturopath (Licence: OR 1652) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: OR AC01292) |
| 175F00000X Naturopath (Licence: CA ND820) | |
| Enumeration Date | 2008-11-04 |
| Last Update Date | 2020-01-24 |