| NPI | 1669709762 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175F00000X Naturopath (Licence: MT AHC-NAT-LIC-2375) |
| Additional Taxonomies | 175F00000X Naturopath (Licence: AK 73) |
| Enumeration Date | 2009-11-10 |
| Last Update Date | 2023-08-04 |