| NPI | 1245525328 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175F00000X Naturopath (Licence: OR 4710) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA ML 60225309) |
| 175F00000X Naturopath (Licence: WA NT60809300) | |
| Enumeration Date | 2011-06-16 |
| Last Update Date | 2018-03-17 |