| NPI | 1427323245 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175F00000X Naturopath (Licence: VT 099.0084660) |
| Additional Taxonomies | 175F00000X Naturopath (Licence: CA ND-535) |
| Enumeration Date | 2012-03-12 |
| Last Update Date | 2013-10-02 |