| NPI | 1093989840 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175F00000X Naturopath (Licence: CT 312) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CT 354) |
| Enumeration Date | 2008-04-14 |
| Last Update Date | 2008-04-14 |