| NPI | 1518154285 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175F00000X Naturopath (Licence: WA NT60239385) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: WA AC60239352) |
| Enumeration Date | 2007-09-26 |
| Last Update Date | 2020-04-06 |