| NPI | 1528408291 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175F00000X Naturopath (Licence: OR 1893) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: OR AC157837) |
| Enumeration Date | 2013-06-26 |
| Last Update Date | 2024-05-06 |