| NPI | 1922250372 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175F00000X Naturopath (Licence: MN 1018) |
| Additional Taxonomies | 175F00000X Naturopath (Licence: AZ 07-1009) |
| Enumeration Date | 2008-10-16 |
| Last Update Date | 2014-06-25 |