| NPI | 1801944087 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111NX0800X Chiropractor, Orthopedic (Licence: WA 1670) |
| Additional Taxonomies | 175F00000X Naturopath (Licence: WA 488) |
| Enumeration Date | 2007-01-06 |
| Last Update Date | 2012-12-17 |