| NPI | 1760537609 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175F00000X Naturopath (Licence: OR 34013) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: OR 651233) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2025-10-26 |