| NPI | 1942647748 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 175F00000X Naturopath (Licence: VT 099.0095845) |
| Enumeration Date | 2013-06-03 |
| Last Update Date | 2013-06-04 |