| NPI | 1972521326 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175F00000X Naturopath (Licence: ID 6761369) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: ID CHIA-972) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2024-07-15 |