| NPI | 1770975864 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175F00000X Naturopath (Licence: VT 099.0107343) |
| Additional Taxonomies | 175F00000X Naturopath (Licence: WA NT60554351) |
| Enumeration Date | 2015-02-26 |
| Last Update Date | 2015-04-28 |