| 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 |