| NPI | 1649432709 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175F00000X Naturopath (Licence: OR 1332) |
| Additional Taxonomies | 302R00000X Health Maintenance Organization (Licence: CA ND-83 / NDF-83) |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2013-09-19 |