| NPI | 1013161181 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175F00000X Naturopath (Licence: AZ 11-1231) |
| Additional Taxonomies | 175F00000X Naturopath (Licence: OR 1650) |
| Enumeration Date | 2008-11-15 |
| Last Update Date | 2011-07-26 |