| NPI | 1497352157 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175F00000X Naturopath (Licence: VT 099.0134125) |
| Additional Taxonomies | 175F00000X Naturopath (Licence: CT 000732) |
| Enumeration Date | 2020-10-06 |
| Last Update Date | 2026-01-29 |