| NPI | 1285844399 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175F00000X Naturopath (Licence: CA ND-482) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MT 95-ND) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2011-12-07 |