| NPI | 1447384995 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175F00000X Naturopath (Licence: VT 099-0000092) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: MA 221007) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2014-09-04 |