| NPI | 1306906060 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175F00000X Naturopath (Licence: AZ 96-481) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: AZ 96-481) |
| 171100000X Acupuncturist (Licence: AZ 96-481) | |
| 175L00000X Homeopath (Licence: AZ 96-481) | |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2023-03-07 |