| NPI | 1609992965 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: FL AP2717) |
| Additional Taxonomies | 175F00000X Naturopath (Licence: WA NT1213) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2009-10-12 |