| NPI | 1528138153 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: WA AC00000048) |
| Additional Taxonomies | 175F00000X Naturopath (Licence: WA NT00000496) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2007-07-08 |