| NPI | 1730495391 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AZ S011465) |
| Additional Taxonomies | 175F00000X Naturopath (Licence: CA 812) |
| Enumeration Date | 2010-08-20 |
| Last Update Date | 2016-10-10 |