| NPI | 1306900816 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175F00000X Naturopath (Licence: WA 1165) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: WA ac00003026) |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2007-08-07 |