| NPI | 1194965137 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: SC 5828) |
| Additional Taxonomies | 173C00000X Reflexologist (Licence: SC 5828) |
| Enumeration Date | 2009-03-04 |
| Last Update Date | 2009-03-04 |