| NPI | 1629527148 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175F00000X Naturopath (Licence: CA 060704) |
| Additional Taxonomies | 175F00000X Naturopath (Licence: GA 060704) |
| 175F00000X Naturopath | |
| 175F00000X Naturopath (Licence: NV 06704) | |
| Enumeration Date | 2016-09-26 |
| Last Update Date | 2017-01-04 |