| NPI | 1447321914 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175F00000X Naturopath (Licence: WA NT952) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: WA AC00000420) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2013-03-29 |