NPI | 1306250006 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 175F00000X Naturopath (Licence: VT 099.0098042) |
Additional Taxonomies | 133N00000X Nutritionist (Licence: IL 164.006907) |
Enumeration Date | 2014-06-20 |
Last Update Date | 2016-08-26 |