| NPI | 1205905262 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111NN0400X Chiropractor, Neurology (Licence: WA CH3657) |
| Additional Taxonomies | 175F00000X Naturopath (Licence: WA NT60096656) |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2012-01-31 |