| NPI | 1437466679 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175F00000X Naturopath (Licence: OR 1876) |
| Additional Taxonomies | 175F00000X Naturopath (Licence: AZ 09-1143) |
| Enumeration Date | 2010-09-09 |
| Last Update Date | 2017-08-23 |