| NPI | 1104154442 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175F00000X Naturopath (Licence: CT 000473) |
| Additional Taxonomies | 175F00000X Naturopath (Licence: WA NT 60121435) |
| Enumeration Date | 2009-11-25 |
| Last Update Date | 2011-12-14 |