| NPI | 1588720627 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175F00000X Naturopath (Licence: CA ND-224) |
| Additional Taxonomies | 175F00000X Naturopath (Licence: CT 000231) |
| Enumeration Date | 2006-12-30 |
| Last Update Date | 2018-08-14 |