| NPI | 1639296494 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175F00000X Naturopath (Licence: WA NT00001237) |
| Additional Taxonomies | 175F00000X Naturopath (Licence: WA nt1237) |
| Enumeration Date | 2007-03-24 |
| Last Update Date | 2018-03-30 |