| NPI | 1275943987 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175F00000X Naturopath (Licence: AZ 14-1434) |
| Additional Taxonomies | 175F00000X Naturopath (Licence: VT 099.0102679) |
| Enumeration Date | 2014-05-02 |
| Last Update Date | 2014-05-02 |