| NPI | 1891828398 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175F00000X Naturopath (Licence: VT 099-0000131) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: VT 091-0000176) |
| 2083S0010X Preventive Medicine, Sports Medicine (Licence: VT 099-0000131) | |
| 208D00000X General Practice (Licence: VT 099-0000131) | |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2023-05-01 |