| NPI | 1124152533 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175F00000X Naturopath (Licence: OR 2034) |
| Additional Taxonomies | 175F00000X Naturopath (Licence: WA NT0000967) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2016-03-08 |