| NPI | 1043435738 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175F00000X Naturopath (Licence: UT 3649277106) |
| Additional Taxonomies | 175F00000X Naturopath (Licence: OR 0887) |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2007-07-08 |