NPI | 1730598244 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 175L00000X Homeopath |
Additional Taxonomies | 175F00000X Naturopath |
246ZC0007X Specialist/Technologist, Other, Surgical Assistant | |
Enumeration Date | 2014-08-08 |
Last Update Date | 2017-04-06 |