| NPI | 1518000728 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175F00000X Naturopath (Licence: AZ 10-1224) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: WA CH00034269) |
| 111N00000X Chiropractor (Licence: AZ 7856) | |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2015-05-14 |