| NPI | 1205266533 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175F00000X Naturopath (Licence: WA NT60422120) |
| Additional Taxonomies | 175F00000X Naturopath (Licence: CA ND1036) |
| Enumeration Date | 2013-11-22 |
| Last Update Date | 2020-08-12 |