| NPI | 1336769199 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175F00000X Naturopath (Licence: DC ND2200096) |
| Additional Taxonomies | 175F00000X Naturopath (Licence: DC NP-0096) |
| Enumeration Date | 2020-04-22 |
| Last Update Date | 2025-05-09 |