| NPI | 1891165627 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175F00000X Naturopath (Licence: OR 4465) |
| Additional Taxonomies | 175F00000X Naturopath (Licence: AZ 16-1593) |
| Enumeration Date | 2015-10-06 |
| Last Update Date | 2022-11-01 |