| NPI | 1316015506 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175F00000X Naturopath (Licence: WA NT1379) |
| Additional Taxonomies | 175F00000X Naturopath (Licence: WA NT00001379) |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2015-03-17 |