| NPI | 1508210071 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172M00000X Mechanotherapist (Licence: HI LMT-2201) |
| Additional Taxonomies | 172M00000X Mechanotherapist (Licence: HI LMT-4597) |
| 172M00000X Mechanotherapist (Licence: HI LMT-6991) | |
| 172M00000X Mechanotherapist (Licence: HI LMT-5879) | |
| 171100000X Acupuncturist (Licence: HI L.A.c - 4597) | |
| Enumeration Date | 2016-04-20 |
| Last Update Date | 2017-02-27 |