| NPI | 1326465634 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: DC MT0982) |
| Additional Taxonomies | 173C00000X Reflexologist (Licence: DC MT0982) |
| Enumeration Date | 2014-03-25 |
| Last Update Date | 2014-03-25 |