NPI | 1770619223 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171100000X Acupuncturist (Licence: OR AC00102) |
Additional Taxonomies | 175F00000X Naturopath (Licence: OR 0731) |
Enumeration Date | 2007-02-26 |
Last Update Date | 2007-07-08 |