| NPI | 1437314283 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 173C00000X Reflexologist (Licence: WA MA00015294) |
| Additional Taxonomies | 173C00000X Reflexologist (Licence: OR 11506) |
| Enumeration Date | 2008-07-22 |
| Last Update Date | 2008-07-22 |