| NPI | 1073635413 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175F00000X Naturopath (Licence: WA NT1222) |
| Additional Taxonomies | 111NX0800X Chiropractor, Orthopedic (Licence: WA CH00034639) |
| 171100000X Acupuncturist (Licence: WA AC2275) | |
| Enumeration Date | 2007-04-05 |
| Last Update Date | 2011-12-08 |