| NPI | 1346345261 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175F00000X Naturopath (Licence: WA NT00000367) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: WA CH00000934) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2012-11-06 |