| NPI | 1992711717 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175F00000X Naturopath (Licence: DC NP-0041) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: VA 0121000439) |
| 175F00000X Naturopath (Licence: VT 099-0000244) | |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2023-03-22 |