| NPI | 1407914138 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175F00000X Naturopath (Licence: KS 21-00002) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: KS 21-A00002) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2013-03-29 |