| NPI | 1467727180 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: FL MA 63551) |
| Additional Taxonomies | 173C00000X Reflexologist (Licence: FL MA 63551) |
| Enumeration Date | 2012-03-13 |
| Last Update Date | 2012-03-13 |