| NPI | 1225278278 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175F00000X Naturopath (Licence: AZ 02-700) |
| Additional Taxonomies | 175F00000X Naturopath (Licence: AK Nat C1) |
| Enumeration Date | 2009-03-04 |
| Last Update Date | 2009-03-04 |