| NPI | 1093862112 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175F00000X Naturopath (Licence: OR 1680) |
| Additional Taxonomies | 174400000X Specialist (Licence: OR 10848) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2010-03-01 |