| NPI | 1124425434 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175F00000X Naturopath (Licence: CA 698) |
| Additional Taxonomies | 175F00000X Naturopath (Licence: WA NATU.NT.60505930) |
| 225700000X Massage Therapist (Licence: WA MA 60297086) | |
| Enumeration Date | 2014-12-02 |
| Last Update Date | 2023-10-02 |