| NPI | 1972527646 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175F00000X Naturopath (Licence: CT 000224) |
| Additional Taxonomies | 175F00000X Naturopath (Licence: WA 1030) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2007-07-08 |