| NPI | 1164661468 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: CA 642497) |
| Additional Taxonomies | 175F00000X Naturopath |
| Enumeration Date | 2009-02-10 |
| Last Update Date | 2023-12-04 |