| NPI | 1427486778 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175F00000X Naturopath |
| Additional Taxonomies | 246RP1900X Technician, Pathology Phlebotomy |
| 247ZC0005X Pathology Clinical Laboratory Director, Non-physician | |
| 367H00000X Anesthesiologist Assistant | |
| 174H00000X Health Educator | |
| 1710I1002X Military Health Care Provider Independent Duty Corpsman | |
| 172A00000X Driver | |
| 175L00000X Homeopath | |
| Enumeration Date | 2013-10-24 |
| Last Update Date | 2016-01-05 |