NPI | 1902245541 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 173C00000X Reflexologist (Licence: FL MA30910) |
Additional Taxonomies | 174H00000X Health Educator (Licence: FL MA30910) |
Enumeration Date | 2013-06-17 |
Last Update Date | 2013-06-17 |