| NPI | 1306371364 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175F00000X Naturopath (Licence: NM 175F00000X) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NM 103T00000X) |
| 175L00000X Homeopath (Licence: NM 175L00000X) | |
| Enumeration Date | 2017-04-27 |
| Last Update Date | 2017-04-27 |