| NPI | 1245010669 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175F00000X Naturopath (Licence: AZ 25-4000) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: UT 13571745-1202) |
| Enumeration Date | 2023-10-03 |
| Last Update Date | 2025-06-25 |