| NPI | 1801330808 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175F00000X Naturopath (Licence: WA NT60707712) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: WA AC60728734) |
| Enumeration Date | 2016-12-09 |
| Last Update Date | 2023-08-07 |