| NPI | 1740595685 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: ID 1740595685) |
| Additional Taxonomies | 111NN1001X Chiropractor, Nutrition (Licence: CA Dc11903) |
| 175L00000X Homeopath (Licence: CA 0004) | |
| 175L00000X Homeopath (Licence: ID 1740595685) | |
| Enumeration Date | 2010-08-16 |
| Last Update Date | 2014-03-18 |