| NPI | 1376736132 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175F00000X Naturopath (Licence: WA NT60248492) |
| Additional Taxonomies | 174400000X Specialist (Licence: WA MA00024264) |
| 175F00000X Naturopath (Licence: KS 21-00029) | |
| Enumeration Date | 2007-08-23 |
| Last Update Date | 2013-10-03 |