| NPI | 1033526777 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175L00000X Homeopath |
| Additional Taxonomies | 101Y00000X Counselor |
| 225700000X Massage Therapist | |
| 226300000X Kinesiotherapist | |
| 2279E1000X Respiratory Therapist, Registered, Educational | |
| Enumeration Date | 2014-07-15 |
| Last Update Date | 2015-01-16 |