| NPI | 1790829083 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175F00000X Naturopath (Licence: OR 1517) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: OR AC01027) |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2022-02-01 |