| NPI | 1942531405 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175F00000X Naturopath (Licence: AZ 13-1355) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: AZ 8095) |
| Enumeration Date | 2010-01-23 |
| Last Update Date | 2013-04-22 |