| NPI | 1992837546 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175F00000X Naturopath (Licence: OR 1389) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OR 1389 Naturopathic) |
| 207R00000X Internal Medicine (Licence: OR 1389 Naturopathic) | |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2012-10-02 |