| NPI | 1356653349 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175F00000X Naturopath (Licence: WA NT00001231) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN000168182) |
| Enumeration Date | 2010-07-08 |
| Last Update Date | 2010-07-08 |