| NPI | 1083088645 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175F00000X Naturopath (Licence: AZ 16-1543) |
| Additional Taxonomies | 175F00000X Naturopath (Licence: CA ND762) |
| Enumeration Date | 2015-11-19 |
| Last Update Date | 2016-06-15 |