| NPI | 1841224615 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175F00000X Naturopath (Licence: OR 1143) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: OR ac00642) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2015-12-14 |