| NPI | 1275614000 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA00006772) |
| Additional Taxonomies | 175F00000X Naturopath (Licence: WA NT00000954) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2007-07-08 |