| NPI | 1326161209 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175F00000X Naturopath (Licence: WA NT00001578) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CO 948) |
| Enumeration Date | 2007-04-07 |
| Last Update Date | 2007-12-04 |