| NPI | 1932865912 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175F00000X Naturopath (Licence: AZ 21-1681) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ 21-1681) |
| Enumeration Date | 2021-11-13 |
| Last Update Date | 2021-11-13 |