| NPI | 1821110867 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175F00000X Naturopath (Licence: VT 099.0058707) |
| Additional Taxonomies | 175F00000X Naturopath (Licence: WA NT1286) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2009-12-08 |