| NPI | 1992803142 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175F00000X Naturopath (Licence: WA NT00000809) |
| Additional Taxonomies | 175F00000X Naturopath (Licence: CA ND1304) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2022-07-27 |