| NPI | 1386831055 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175F00000X Naturopath (Licence: CA ND1081) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA 0232200) |
| Enumeration Date | 2007-09-26 |
| Last Update Date | 2024-02-09 |