| NPI | 1972629897 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175F00000X Naturopath (Licence: CA NDF-138) |
| Additional Taxonomies | 175F00000X Naturopath (Licence: WA WA-1318) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2010-08-11 |