| NPI | 1437451093 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175F00000X Naturopath (Licence: WA NT60183537) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00161756) |
| Enumeration Date | 2010-12-02 |
| Last Update Date | 2011-12-07 |