| NPI | 1407147820 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175F00000X Naturopath (Licence: FL PTA26274) |
| Additional Taxonomies | 175F00000X Naturopath (Licence: FL MA61128) |
| Enumeration Date | 2011-04-20 |
| Last Update Date | 2018-03-17 |