| NPI | 1831426451 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175F00000X Naturopath (Licence: CA ND418) |
| Additional Taxonomies | 175F00000X Naturopath (Licence: AZ 091156) |
| 133N00000X Nutritionist | |
| 174H00000X Health Educator | |
| Enumeration Date | 2009-11-04 |
| Last Update Date | 2012-08-03 |