NPI | 1194807495 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 175F00000X Naturopath (Licence: AZ 03-739) |
Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine (Licence: AZ 03739) |
Enumeration Date | 2006-10-19 |
Last Update Date | 2022-07-21 |