| NPI | 1588093785 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175F00000X Naturopath (Licence: OR 1989) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NY 007998) |
| Enumeration Date | 2013-11-07 |
| Last Update Date | 2014-04-01 |