| NPI | 1710175799 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175F00000X Naturopath (Licence: CA 413) |
| Additional Taxonomies | 175F00000X Naturopath (Licence: MT 1955) |
| 175F00000X Naturopath (Licence: VT 099-0000227) | |
| 175F00000X Naturopath (Licence: AZ 07-1038) | |
| Enumeration Date | 2007-10-04 |
| Last Update Date | 2022-12-21 |