| NPI | 1447584271 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: MA 2718) |
| Additional Taxonomies | 173C00000X Reflexologist (Licence: MA 2718) |
| Enumeration Date | 2009-09-27 |
| Last Update Date | 2012-03-03 |