NPI | 1770884124 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 175F00000X Naturopath (Licence: WA NT00000554) |
Additional Taxonomies | 171100000X Acupuncturist (Licence: WA AC00000051) |
Enumeration Date | 2010-11-16 |
Last Update Date | 2010-11-16 |