| NPI | 1619945664 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175F00000X Naturopath (Licence: UT 5221850-7100) |
| Additional Taxonomies | 175F00000X Naturopath (Licence: UT 5221850-1203) |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2021-02-04 |