| NPI | 1811011356 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175F00000X Naturopath (Licence: WA NT00000924) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NM 916) |
| 171100000X Acupuncturist (Licence: WA AC00000602) | |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2009-11-23 |