| NPI | 1760407530 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175F00000X Naturopath (Licence: OR 0933) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: OR 273026) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2008-05-22 |