| NPI | 1497870380 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175F00000X Naturopath (Licence: WA NT00000397) |
| Additional Taxonomies | 175F00000X Naturopath (Licence: OR 0463) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2026-04-23 |