| NPI | 1801361191 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175F00000X Naturopath (Licence: WA NT61017119) |
| Additional Taxonomies | 175F00000X Naturopath (Licence: CA ND1023) |
| Enumeration Date | 2018-10-12 |
| Last Update Date | 2020-11-24 |