| NPI | 1114114329 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175F00000X Naturopath (Licence: AZ 03-727) |
| Additional Taxonomies | 175F00000X Naturopath (Licence: HI ND-153) |
| Enumeration Date | 2007-10-02 |
| Last Update Date | 2012-11-20 |