| NPI | 1457497034 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175F00000X Naturopath |
| Additional Taxonomies | 175L00000X Homeopath |
| 183500000X Pharmacist (Licence: OH 03-2-12847) | |
| 1835G0303X Pharmacist Geriatric (Licence: OH 03-2-12847) | |
| 1835P1200X Pharmacist Pharmacotherapy (Licence: OH 03-2-12847) | |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2007-07-08 |