| NPI | 1659944502 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 173C00000X Reflexologist (Licence: TN 579) |
| Additional Taxonomies | 173C00000X Reflexologist (Licence: TN RCR0000000579) |
| Enumeration Date | 2021-07-19 |
| Last Update Date | 2022-10-05 |