| NPI | 1447794250 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175F00000X Naturopath (Licence: WA NT60754100) |
| Additional Taxonomies | 171W00000X Contractor (Licence: WA 60432848) |
| Enumeration Date | 2016-12-13 |
| Last Update Date | 2017-04-28 |