| NPI | 1811207277 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175F00000X Naturopath (Licence: OR 1784) |
| Additional Taxonomies | 175F00000X Naturopath (Licence: MN 1149) |
| 175F00000X Naturopath (Licence: CT 752) | |
| Enumeration Date | 2010-10-19 |
| Last Update Date | 2025-01-21 |