| NPI | 1932617388 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175F00000X Naturopath (Licence: CA ND1350) |
| Additional Taxonomies | 175F00000X Naturopath (Licence: HI ND-289) |
| Enumeration Date | 2018-01-19 |
| Last Update Date | 2022-10-25 |