| NPI | 1881946028 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: CA 18651) |
| Additional Taxonomies | 175F00000X Naturopath (Licence: CA ND626) |
| Enumeration Date | 2012-10-12 |
| Last Update Date | 2020-03-17 |