| NPI | 1861926107 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: PR BTA100601-7) |
| Additional Taxonomies | 173C00000X Reflexologist (Licence: 2120432) |
| 226300000X Kinesiotherapist (Licence: PR BTA100601-7) | |
| Enumeration Date | 2017-04-13 |
| Last Update Date | 2023-05-22 |