| NPI | 1366767584 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175F00000X Naturopath (Licence: CA ND-424) |
| Additional Taxonomies | 175F00000X Naturopath (Licence: AZ 10-1182) |
| Enumeration Date | 2010-03-30 |
| Last Update Date | 2013-05-28 |