| NPI | 1831648708 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175F00000X Naturopath (Licence: WA NT60695192) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: WA AC60695817) |
| Enumeration Date | 2016-10-03 |
| Last Update Date | 2019-06-08 |