| NPI | 1952634057 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175F00000X Naturopath (Licence: VT 099.0133641) |
| Additional Taxonomies | 175F00000X Naturopath (Licence: HI ND155) |
| Enumeration Date | 2009-09-08 |
| Last Update Date | 2018-03-17 |