NPI | 1942690151 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 175F00000X Naturopath (Licence: AZ 15-1489) |
Additional Taxonomies | 175F00000X Naturopath (Licence: VT 099.0107564) |
Enumeration Date | 2015-01-26 |
Last Update Date | 2017-04-28 |