| NPI | 1821468174 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175F00000X Naturopath (Licence: OR 3004) |
| Additional Taxonomies | 175F00000X Naturopath (Licence: CA ND759) |
| Enumeration Date | 2015-09-30 |
| Last Update Date | 2015-10-20 |