| NPI | 1578784278 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175F00000X Naturopath (Licence: OR 0660) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: OR AC01300) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2019-08-30 |