| NPI | 1487067443 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175F00000X Naturopath (Licence: AZ 14-1436) |
| Additional Taxonomies | 172P00000X Naprapath |
| 175F00000X Naturopath (Licence: HI ND-292) | |
| Enumeration Date | 2014-06-08 |
| Last Update Date | 2019-11-20 |