| NPI | 1043374887 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175F00000X Naturopath (Licence: VT 099.0110596) |
| Additional Taxonomies | 175F00000X Naturopath (Licence: OR 1281) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2015-07-16 |