| NPI | 1215176508 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1744R1102X Specialist, Research Study |
| Additional Taxonomies | 133N00000X Nutritionist |
| 175F00000X Naturopath | |
| 175L00000X Homeopath | |
| 174H00000X Health Educator | |
| 174400000X Specialist | |
| Enumeration Date | 2009-02-11 |
| Last Update Date | 2010-02-17 |