| NPI | 1871225797 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175L00000X Homeopath (Licence: AZ H-000040) |
| Additional Taxonomies | 175L00000X Homeopath |
| 225700000X Massage Therapist (Licence: IN MT21505510) | |
| Enumeration Date | 2022-06-29 |
| Last Update Date | 2025-05-16 |