| NPI | 1750688909 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175F00000X Naturopath |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: OK OK1023) |
| 175L00000X Homeopath | |
| Enumeration Date | 2011-02-24 |
| Last Update Date | 2013-06-03 |