| NPI | 1497499495 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175F00000X Naturopath (Licence: CO ND.000232) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: CO MT.0024235) |
| Enumeration Date | 2022-04-25 |
| Last Update Date | 2022-04-25 |