| NPI | 1467091439 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 173C00000X Reflexologist (Licence: AR 7903) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: AR 7903) |
| Enumeration Date | 2019-12-23 |
| Last Update Date | 2019-12-23 |