| NPI | 1881916187 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 173C00000X Reflexologist (Licence: IN MT20901614) |
| Additional Taxonomies | 173C00000X Reflexologist (Licence: WA MA60496647) |
| Enumeration Date | 2010-02-28 |
| Last Update Date | 2015-02-17 |