| NPI | 1649228636 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175F00000X Naturopath (Licence: OR 1333) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: OR AC00633) |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2022-07-21 |