| NPI | 1033452172 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172M00000X Mechanotherapist (Licence: IA 02881) |
| Additional Taxonomies | 173C00000X Reflexologist (Licence: IA 02881) |
| 175L00000X Homeopath | |
| Enumeration Date | 2013-03-27 |
| Last Update Date | 2013-03-27 |