NPI | 1902975998 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 175F00000X Naturopath (Licence: WA NT00000698) |
Additional Taxonomies | 133N00000X Nutritionist (Licence: MA 1597) |
Enumeration Date | 2006-11-06 |
Last Update Date | 2011-06-13 |