NPI | 1437201720 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225700000X Massage Therapist (Licence: OH 33.015535) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: KY KY-2259) |
Enumeration Date | 2007-01-17 |
Last Update Date | 2010-04-12 |