| NPI | 1285745794 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175F00000X Naturopath (Licence: HI 203) |
| Additional Taxonomies | 175F00000X Naturopath (Licence: WA 1243) |
| 175F00000X Naturopath (Licence: CA ND-362) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2014-11-25 |