| NPI | 1063713329 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175F00000X Naturopath (Licence: UT 5791354-7101) |
| Additional Taxonomies | 111NR0400X (Licence: UT 5791354-1202) |
| Enumeration Date | 2010-11-03 |
| Last Update Date | 2024-07-22 |