| NPI | 1659690329 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: OR AC154596) |
| Additional Taxonomies | 175F00000X Naturopath (Licence: OR 3079) |
| Enumeration Date | 2010-05-20 |
| Last Update Date | 2016-12-08 |