| NPI | 1568535128 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175F00000X Naturopath (Licence: OR 1176) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR 1176) |
| 171100000X Acupuncturist (Licence: OR 559) | |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2022-08-01 |