| NPI | 1740650076 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175F00000X Naturopath (Licence: WA NT60255391) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: WA AC60675686) |
| Enumeration Date | 2015-09-29 |
| Last Update Date | 2022-05-17 |