| NPI | 1023479110 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175F00000X Naturopath (Licence: CA 769) |
| Additional Taxonomies | 175F00000X Naturopath (Licence: AZ 15-1515) |
| Enumeration Date | 2016-03-16 |
| Last Update Date | 2016-03-16 |