| NPI | 1861681215 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175F00000X Naturopath (Licence: OR 1113) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: OR AC01122) |
| Enumeration Date | 2007-10-22 |
| Last Update Date | 2011-06-02 |