| NPI | 1881604536 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175F00000X Naturopath (Licence: CA ND888) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA DC30026) |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2023-03-10 |