| NPI | 1619005022 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175F00000X Naturopath (Licence: WA NT1360) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: WA AC2676) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2025-09-11 |