| NPI | 1740502194 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175F00000X Naturopath |
| Additional Taxonomies | 101YP1600X Counselor, Pastoral |
| 173C00000X Reflexologist | |
| 225700000X Massage Therapist (Licence: NJ 26BT00015600) | |
| Enumeration Date | 2010-02-25 |
| Last Update Date | 2010-02-25 |