| NPI | 1609867431 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: OR AC00419) |
| Additional Taxonomies | 175F00000X Naturopath (Licence: OR 965) |
| Enumeration Date | 2005-11-01 |
| Last Update Date | 2007-07-08 |