| NPI | 1215237615 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 173C00000X Reflexologist (Licence: CA 4219) |
| Additional Taxonomies | 163WM1400X Registered Nurse, Nurse Massage Therapist (NMT) (Licence: CA 4219) |
| Enumeration Date | 2010-11-01 |
| Last Update Date | 2010-11-01 |