| NPI | 1669866083 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175L00000X Homeopath (Licence: IN 38000086A) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA VN 67423) |
| 174400000X Specialist (Licence: CA CHT689-504) | |
| Enumeration Date | 2015-03-24 |
| Last Update Date | 2015-04-09 |