| NPI | 1790575553 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175F00000X Naturopath (Licence: OR 000834) |
| Additional Taxonomies | 175F00000X Naturopath (Licence: CT 000754) |
| Enumeration Date | 2025-05-07 |
| Last Update Date | 2025-05-07 |