| NPI | 1598995383 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175F00000X Naturopath (Licence: WA 61129979) |
| Additional Taxonomies | 175F00000X Naturopath (Licence: CA ND-397) |
| Enumeration Date | 2009-07-15 |
| Last Update Date | 2022-01-18 |