| 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 |