NPI | 1710119474 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 175F00000X Naturopath (Licence: CA ND-187) |
Additional Taxonomies | 171100000X Acupuncturist (Licence: CA AC11158) |
Enumeration Date | 2009-08-13 |
Last Update Date | 2014-07-30 |