| NPI | 1134510761 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175F00000X Naturopath |
| Additional Taxonomies | 146L00000X Emergency Medical Technician, Paramedic (Licence: ZZ 22131202003186) |
| Enumeration Date | 2015-02-18 |
| Last Update Date | 2023-03-15 |