| NPI | 1578816088 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175F00000X Naturopath (Licence: CA NDF1080) |
| Additional Taxonomies | 175F00000X Naturopath (Licence: OR 1927) |
| Enumeration Date | 2012-10-22 |
| Last Update Date | 2019-08-29 |