| NPI | 1316076490 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175F00000X Naturopath (Licence: AZ 05-908) |
| Additional Taxonomies | 175F00000X Naturopath (Licence: WA NT60524064) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2017-04-02 |