| NPI | 1598060758 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175F00000X Naturopath (Licence: WA NT60181111) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: OR AC152900) |
| 175F00000X Naturopath (Licence: OR 1792) | |
| 171100000X Acupuncturist (Licence: WA AC60172844) | |
| Enumeration Date | 2011-01-20 |
| Last Update Date | 2012-05-21 |