| NPI | 1073056289 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175F00000X Naturopath (Licence: ID 8861663) |
| Additional Taxonomies | 111NN1001X Chiropractor, Nutrition (Licence: ID CHIA-1766) |
| Enumeration Date | 2016-11-21 |
| Last Update Date | 2025-07-31 |