| NPI | 1871604470 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175F00000X Naturopath (Licence: CA ND1) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA AC2874) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2025-09-11 |