| NPI | 1992150056 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PR 44) |
| Additional Taxonomies | 175F00000X Naturopath (Licence: PR 44) |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: PR 44) | |
| 171100000X Acupuncturist | |
| 171100000X Acupuncturist (Licence: PR 10) | |
| Enumeration Date | 2016-04-26 |
| Last Update Date | 2024-07-22 |