| NPI | 1932395894 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175F00000X Naturopath (Licence: OR 1557) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: OR AC01126) |
| Enumeration Date | 2007-09-24 |
| Last Update Date | 2009-04-06 |