| NPI | 1356509343 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175F00000X Naturopath (Licence: WA NT00001619) |
| Additional Taxonomies | 175F00000X Naturopath (Licence: OR 2020) |
| 175F00000X Naturopath (Licence: AZ 16-1558) | |
| 175F00000X Naturopath (Licence: CA 828) | |
| Enumeration Date | 2008-05-28 |
| Last Update Date | 2021-10-22 |