NPI | 1497933154 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 175F00000X Naturopath (Licence: AZ 03-744) |
Additional Taxonomies | 208D00000X General Practice (Licence: AZ 03-744) |
Enumeration Date | 2008-02-05 |
Last Update Date | 2023-05-10 |