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 |