| NPI | 1548443385 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175F00000X Naturopath (Licence: CA ND-474) |
| Additional Taxonomies | 175F00000X Naturopath (Licence: AZ 07-1032) |
| Enumeration Date | 2007-12-16 |
| Last Update Date | 2014-03-13 |