| NPI | 1902094386 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175F00000X Naturopath (Licence: OR 0362ND.) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: OR 1232-DC) |
| 175F00000X Naturopath (Licence: OR 362-ND) | |
| Enumeration Date | 2007-10-10 |
| Last Update Date | 2021-05-06 |