| NPI | 1851600241 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175F00000X Naturopath (Licence: WA NT60682875) |
| Additional Taxonomies | 175F00000X Naturopath (Licence: AZ 10-1207) |
| Enumeration Date | 2010-10-01 |
| Last Update Date | 2017-04-29 |