| NPI | 1477511731 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175F00000X Naturopath (Licence: OR 0770) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: OR Ac00314) |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2010-08-23 |