| NPI | 1932393691 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175L00000X Homeopath (Licence: NV 02831) |
| Additional Taxonomies | 208D00000X General Practice (Licence: CO 36766) |
| Enumeration Date | 2007-09-05 |
| Last Update Date | 2007-09-05 |