NPI | 1164670840 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 175F00000X Naturopath (Licence: WA 680) |
Additional Taxonomies | 175F00000X Naturopath (Licence: CA 220) |
183500000X Pharmacist (Licence: NY 037945) | |
183500000X Pharmacist (Licence: WA 15468) | |
Enumeration Date | 2008-09-05 |
Last Update Date | 2016-01-05 |