| NPI | 1528243912 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175F00000X Naturopath (Licence: VT 099.0134123) |
| Additional Taxonomies | 175F00000X Naturopath (Licence: OR 1588) |
| Enumeration Date | 2008-01-03 |
| Last Update Date | 2024-09-13 |