NPI | 1386864908 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 175F00000X Naturopath (Licence: CA ND13) |
Additional Taxonomies | 183500000X Pharmacist (Licence: CA 41173) |
183500000X Pharmacist (Licence: AZ s009020) | |
Enumeration Date | 2007-04-26 |
Last Update Date | 2020-12-16 |