| NPI | 1770508632 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175F00000X Naturopath (Licence: NH 49) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NH 811007) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2011-11-04 |