| NPI | 1205497542 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175F00000X Naturopath (Licence: AZ 19787) |
| Additional Taxonomies | 2083B0002X Preventive Medicine, Obesity Medicine (Licence: AZ 19787) |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: AZ 19787) | |
| 2083S0010X Preventive Medicine, Sports Medicine (Licence: AZ 19787) | |
| 208D00000X General Practice (Licence: AZ 19787) | |
| Enumeration Date | 2019-06-26 |
| Last Update Date | 2019-06-26 |