| NPI | 1649613175 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: OR AC159673) |
| Additional Taxonomies | 175F00000X Naturopath (Licence: OR 1958) |
| Enumeration Date | 2013-04-15 |
| Last Update Date | 2014-04-17 |