| NPI | 1285865048 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175F00000X Naturopath (Licence: WA NT60198440) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA00019095) |
| Enumeration Date | 2009-07-28 |
| Last Update Date | 2016-03-21 |