| NPI | 1558512400 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175F00000X Naturopath (Licence: AZ 07-971) |
| Additional Taxonomies | 175F00000X Naturopath (Licence: CA ND-407) |
| 175F00000X Naturopath (Licence: UT 8152471-7100) | |
| Enumeration Date | 2008-10-08 |
| Last Update Date | 2017-03-02 |