| NPI | 1881022564 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175F00000X Naturopath (Licence: KS 21-00032) |
| Additional Taxonomies | 175F00000X Naturopath |
| 175F00000X Naturopath (Licence: WA 60773636) | |
| 175F00000X Naturopath (Licence: PR 000050) | |
| Enumeration Date | 2013-10-16 |
| Last Update Date | 2022-11-01 |