| NPI | 1962735217 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175F00000X Naturopath (Licence: OR 1821) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: OR AC150207) |
| Enumeration Date | 2009-09-17 |
| Last Update Date | 2024-08-12 |