| NPI | 1518039478 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175F00000X Naturopath (Licence: WA NT00000965) |
| Additional Taxonomies | 175F00000X Naturopath (Licence: HI ND-206) |
| 175F00000X Naturopath (Licence: AZ 06-956) | |
| 175F00000X Naturopath (Licence: CA ND-259) | |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2025-10-22 |