| NPI | 1215077516 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175F00000X Naturopath (Licence: ID 4471695) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: ID chia-1233) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2026-03-18 |