| NPI | 1609029719 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 173C00000X Reflexologist (Licence: FL MA20169) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: FL MA20169) |
| Enumeration Date | 2008-11-03 |
| Last Update Date | 2010-05-24 |