| NPI | 1689849390 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175F00000X Naturopath (Licence: WA NT01563) |
| Additional Taxonomies | 207SG0205X Medical Genetics, Ph.D. Medical Genetics (Licence: NY 85.1578658) |
| 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: WA NT01563) | |
| 133VN1006X Dietitian, Registered, Nutrition, Metabolic | |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2017-05-03 |