NPI | 1235450750 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225700000X Massage Therapist (Licence: SC 6643) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: NC 9451) |
Enumeration Date | 2010-06-18 |
Last Update Date | 2010-06-18 |