| NPI | 1801190236 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: AZ MT11778) |
| Additional Taxonomies | 173C00000X Reflexologist |
| 174H00000X Health Educator | |
| 175M00000X Midwife, Lay | |
| 225400000X Rehabilitation Practitioner | |
| 226300000X Kinesiotherapist | |
| Enumeration Date | 2010-12-28 |
| Last Update Date | 2010-12-28 |