| NPI | 1417081266 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175F00000X Naturopath (Licence: CA ND452) |
| Additional Taxonomies | 175F00000X Naturopath (Licence: AZ 99-563) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2014-11-03 |