| NPI | 1932783404 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175F00000X Naturopath (Licence: CA 1247) |
| Additional Taxonomies | 175F00000X Naturopath (Licence: MA ND10013) |
| Enumeration Date | 2021-05-10 |
| Last Update Date | 2024-01-05 |