| NPI | 1316269285 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: VA 0101266902) |
| Additional Taxonomies | 175F00000X Naturopath (Licence: VT 0990119265) |
| Enumeration Date | 2010-02-19 |
| Last Update Date | 2024-11-13 |