| NPI | 1376876177 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175F00000X Naturopath (Licence: WA NT 60071422) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: WA AC 60083601) |
| Enumeration Date | 2009-09-10 |
| Last Update Date | 2009-09-10 |