| NPI | 1609356385 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: PA 773109) |
| Additional Taxonomies | 175F00000X Naturopath (Licence: PA 773109) |
| 133N00000X Nutritionist (Licence: PA 773109) | |
| Enumeration Date | 2018-08-21 |
| Last Update Date | 2018-08-21 |