| NPI | 1326902867 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175F00000X Naturopath (Licence: PR 235) |
| Additional Taxonomies | 226300000X Kinesiotherapist (Licence: PR 235) |
| Enumeration Date | 2025-12-10 |
| Last Update Date | 2025-12-10 |