| NPI | 1447215215 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175F00000X Naturopath (Licence: OR 1052) |
| Additional Taxonomies | 175F00000X Naturopath (Licence: WA NT00001285) |
| 171100000X Acupuncturist (Licence: WA AC00002577) | |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2007-07-08 |