| NPI | 1417107947 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: FL AP0002609) |
| Additional Taxonomies | 175F00000X Naturopath |
| 175L00000X Homeopath | |
| Enumeration Date | 2008-09-20 |
| Last Update Date | 2018-06-09 |