| NPI | 1306153705 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175F00000X Naturopath (Licence: CA ND-483) |
| Additional Taxonomies | 111NX0800X Chiropractor Orthopedic (Licence: CA 32023) |
| Enumeration Date | 2010-09-07 |
| Last Update Date | 2012-02-10 |