| NPI | 1285658096 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175F00000X Naturopath (Licence: WA NT00000522) |
| Additional Taxonomies | 175F00000X Naturopath (Licence: WA 522) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2018-03-23 |