| NPI | 1659798858 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175F00000X Naturopath (Licence: HI ND 54) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: HI ACU 101) |
| Enumeration Date | 2014-03-25 |
| Last Update Date | 2014-03-25 |