NPI | 1114138336 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111N00000X Chiropractor (Licence: WA CH00033709) |
Additional Taxonomies | 175F00000X Naturopath (Licence: WA NT00001183) |
Enumeration Date | 2007-05-28 |
Last Update Date | 2007-07-08 |