| NPI | 1952733784 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175F00000X Naturopath (Licence: WA NT60286397) |
| Additional Taxonomies | 175F00000X Naturopath (Licence: OR 1267R) |
| Enumeration Date | 2013-08-02 |
| Last Update Date | 2019-09-04 |