| NPI | 1518520972 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175F00000X Naturopath (Licence: CA ND1063) |
| Additional Taxonomies | 175F00000X Naturopath (Licence: AZ 19-1800) |
| Enumeration Date | 2019-04-20 |
| Last Update Date | 2023-07-02 |