| NPI | 1871725234 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: WI 337-055) |
| Additional Taxonomies | 175F00000X Naturopath |
| 175L00000X Homeopath | |
| Enumeration Date | 2009-08-19 |
| Last Update Date | 2014-10-28 |