| NPI | 1952592073 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175F00000X Naturopath (Licence: WA NT00001284) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: WA AC00002729) |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2013-11-19 |