| NPI | 1992954408 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175F00000X Naturopath (Licence: OR 1802) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: OR 153733) |
| 171100000X Acupuncturist (Licence: CA 10268) | |
| 175F00000X Naturopath (Licence: CA NDF 184) | |
| Enumeration Date | 2008-09-09 |
| Last Update Date | 2014-12-11 |