| NPI | 1760513394 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: WA 000000085) |
| Additional Taxonomies | 175F00000X Naturopath (Licence: WA 000000613) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2007-07-08 |