| NPI | 1083122626 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175F00000X Naturopath (Licence: WA NT61010075) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA AC17881) |
| 171100000X Acupuncturist (Licence: WA AC60924576) | |
| 175F00000X Naturopath (Licence: CA ND947) | |
| Enumeration Date | 2018-01-17 |
| Last Update Date | 2022-09-15 |