| NPI | 1225775612 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175F00000X Naturopath (Licence: CA ND1333) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: CA 86016431) |
| Enumeration Date | 2022-05-17 |
| Last Update Date | 2023-10-08 |