| NPI | 1649473778 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175F00000X Naturopath (Licence: UT 6499917-7100) |
| Additional Taxonomies | 175F00000X Naturopath (Licence: UT 6499917-8919) |
| 175F00000X Naturopath (Licence: AZ 07-987) | |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2024-01-10 |