| NPI | 1578013207 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175F00000X Naturopath (Licence: OR 4024) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: OR AC179284) |
| Enumeration Date | 2016-10-05 |
| Last Update Date | 2020-12-13 |