| NPI | 1609100080 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175L00000X Homeopath (Licence: FL MA52793) |
| Additional Taxonomies | 175F00000X Naturopath (Licence: FL MA52793) |
| Enumeration Date | 2009-10-01 |
| Last Update Date | 2009-10-01 |