| NPI | 1841830882 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: HI MAT-3596) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: HI ACU-627) |
| Enumeration Date | 2020-01-07 |
| Last Update Date | 2023-02-10 |