| NPI | 1972893055 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175F00000X Naturopath (Licence: OR #1733) |
| Additional Taxonomies | 175F00000X Naturopath (Licence: WA NT60168200) |
| Enumeration Date | 2011-04-11 |
| Last Update Date | 2011-04-11 |