| NPI | 1366643785 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175F00000X Naturopath (Licence: AZ 94-456) |
| Additional Taxonomies | 175F00000X Naturopath (Licence: AZ 94456) |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2015-11-18 |