| NPI | 1023455920 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175F00000X Naturopath (Licence: UT 10168563-7100) |
| Additional Taxonomies | 175F00000X Naturopath (Licence: OR 1951) |
| 175F00000X Naturopath (Licence: UT 10168563-8919) | |
| Enumeration Date | 2013-05-31 |
| Last Update Date | 2022-01-12 |