| NPI | 1851662662 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175F00000X Naturopath (Licence: ZZ 4818324) |
| Additional Taxonomies | 172P00000X Naprapath (Licence: PR 5935) |
| 225700000X Massage Therapist (Licence: PR 0653) | |
| Enumeration Date | 2012-01-25 |
| Last Update Date | 2024-06-16 |