| NPI | 1699319764 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175F00000X Naturopath (Licence: WA NT61000810) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: WA AC61024661) |
| Enumeration Date | 2019-11-01 |
| Last Update Date | 2024-07-17 |