| NPI | 1932392230 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175F00000X Naturopath (Licence: OR 1681) |
| Additional Taxonomies | 175F00000X Naturopath (Licence: AZ 05-907) |
| Enumeration Date | 2007-08-21 |
| Last Update Date | 2011-07-06 |