| NPI | 1881302156 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: NY 020785) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NY 020784) |
| Enumeration Date | 2022-11-07 |
| Last Update Date | 2022-11-08 |